DR. KERMIT RADKE DMD
NPI 1760729339
Dentist - Endodontics in Gurnee, IL

Q: What is Kermit Radke's NPI number?

The NPI number for Kermit Radke is 1760729339. It was assigned to this individual provider in the NPPES registry on January 15, 2013.

Q: What is Kermit Radke's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Endodontics, with taxonomy code 1223E0200X.

Q: When was this NPI record last updated?

The NPPES record for Kermit Radke was last updated on January 15, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since January 15, 2013PECOS Enrolled

4165 OLD GRAND AVE, GURNEE, IL 60031(847) 623-4910(847) 623-6054 Get Directions Write a Review

NPPES record last updated: January 15, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Kermit Radke Dmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KERMIT RADKE DMD (NPI 1760729339) is an individual endodontics provider in Gurnee, Illinois, licensed in Illinois (021001688) and active in the NPI registry since January 2013. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1760729339

Entity TypeIndividualMale

Primary Taxonomy1223E0200X

Provider Legal NameDR. KERMIT RADKECredential: DMD

Location Address4165 OLD GRAND AVEGurnee, IL 60031-2774

Mailing Address4165 Old Grand AveGurnee, IL 60031-2774 · (847) 623-4910 · Fax (847) 623-6054

Phone(847) 623-4910

Fax(847) 623-6054

Sole ProprietorYes

Enumeration DateJanuary 15, 2013

✔ NPI 1760729339 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · EndodonticsDental Providers

Taxonomy Code1223E0200X

License✔ Licensed in IL · 021001688

Definition

The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.

4165 OLD GRAND AVE, Gurnee, IL 60031

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Humana.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Kermit Radke Dmd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60031 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$93.02 typical visit price

range $59.81 – $181.38

Typical copayment $23.25 (range $14.95 – $45.34)

Most-billed visit code 99203

Established Patient

$74.38 typical visit price

range $19.15 – $147.12

Typical copayment $18.59 (range $4.78 – $36.78)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. GERALD D MACKEY DDS

Dentist

4165 OLD GRAND AVE, 2
GURNEE, IL 60031

Lake County (847) 662-8388

DR. RICHARD ALEXANDER ASPELL D.D.S.

Dentist

4165 OLD GRAND AVE
GURNEE, IL 60031

Lake County (847) 662-8388

NORTH SUBURBAN ENDODONTICS PC

Dentist (Endodontics)

4165 OLD GRAND AVE
GURNEE, IL 60031

Lake County (847) 623-4910

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kermit Radke's NPI number?

The NPI number for Kermit Radke is 1760729339. It was assigned to this individual provider in the NPPES registry on January 15, 2013.

Where is Kermit Radke located?

Kermit Radke practices at 4165 Old Grand Ave, Gurnee, IL 60031. The listed phone number is (847) 623-4910.

What is Kermit Radke's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Endodontics, with taxonomy code 1223E0200X.

Is Kermit Radke enrolled in Medicare?

Yes. Kermit Radke is registered in the Medicare PECOS enrollment system.

What insurance does Kermit Radke accept?

Health plans from Humana list Kermit Radke as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kermit Radke was last updated on January 15, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.