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KEVIN STEPHENS JR.
NPI 1770977662
Family Medicine in Chicago, IL

Active since March 27, 2015PECOS EnrolledAccepts Medicare Assignment
1715 E 95TH ST, CHICAGO, IL 60617(773) 768-4437 Get Directions Write a Review

NPPES record last updated: March 12, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 12, 2021, Oct 22, 2020, Jul 5, 2018 (3 updates tracked since 2018).

About Kevin Stephens Jr. NPPES

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

KEVIN STEPHENS JR. (NPI 1770977662) is an individual family medicine provider in Chicago, Illinois, licensed in Illinois (036.56) and active in the NPI registry since March 2015. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1770977662
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameKEVIN STEPHENS JR.
Location Address1715 E 95TH STChicago, IL 60617-4708
Mailing AddressPo Box 746721Atlanta, GA 30374-6721 · (312) 733-9730
Phone(773) 768-4437
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateMarch 27, 2015
Last NPPES UpdateMarch 12, 20213 updates tracked since enumeration
NPPES CertifiedMarch 12, 2021
✔ NPI 1770977662 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in IL · 036.56✔ Licensed in LA · 325655
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
1715 E 95TH ST, Chicago, IL 60617
Open in Google Maps ↗

Secondary Practice Locations 2

Location 14151 Bladensburg RdBrentwood, MD 20722 · Phone (301) 699-7700
Location 26521 Airline DrMetairie, LA 70003-5113 · Phone (504) 534-1226 · Fax (504) 636-6695

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kevin Stephens Jr. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID840504296
PECOS Enrollment IDI20240507003607
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Kevin Stephens reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Oak Street Health Physicians Group, PC
Same address
Primary Care
1715 E 95TH ST
Chicago, IL 60617
  • Reassigned Medicare billing, Illinois enrollment
  • 343 clinicians in this Medicare group
NPI 1083051643 (773) 768-4437
Hackensack Meridian Health Medical Group - Primary Care PC
711 mi
Family Medicine
331 NEWMAN SPRINGS RD STE 220
Red Bank, NJ 07701
  • Reassigned Medicare billing, New Jersey enrollment
  • 689 clinicians in this Medicare group
NPI 1336203538 (732) 807-0800

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60617 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
$94.06 typical visit price
range $60.08 – $183.39
Typical copayment $23.51 (range $15.02 – $45.84)
Most-billed visit code 99203
Established Patient
$105.70 typical visit price
range $18.97 – $148.12
Typical copayment $26.42 (range $4.74 – $37.03)
Most-billed visit code 99214
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 20

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

TIMOTHY DAVID PRAJKA DO
Family Medicine
1715 E 95TH ST
CHICAGO, IL 60617
Cook County (773) 768-4437
RENE ROBERTS M.D.
Family Medicine
1715 E 95TH ST
CHICAGO, IL 60617
Cook County (773) 768-4437
OAK STREET HEALTH PHYSICIANS GROUP, PC
Clinic/Center (Primary Care)
1715 E 95TH ST
CHICAGO, IL 60617
Cook County (773) 768-4437
PATRICIA GOMEZ
Social Worker (Clinical)
1715 E 95TH ST
CHICAGO, IL 60617
Cook County (773) 768-4437
DYMOND LONG APN, FNP-BC
Nurse Practitioner (Family)
1715 E 95TH ST
CHICAGO, IL 60617
Cook County (773) 768-4437
REBECCA MURRAY LCSW
Social Worker (Clinical)
1715 E 95TH ST
CHICAGO, IL 60617
Cook County (773) 768-4437
REBECCA GLORIA SHAH APN-CNP
Nurse Practitioner
1715 E 95TH ST
CHICAGO, IL 60617
Cook County (773) 977-7256
MS. TOIJUANA RUTH MURRAY LCSW
Social Worker (Clinical)
1715 E 95TH ST
CHICAGO, IL 60617
Cook County (773) 768-4437

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 Kevin Stephens's NPI number?

The NPI number for Kevin Stephens is 1770977662. It was assigned to this individual provider in the NPPES registry on March 27, 2015.

Where is Kevin Stephens located?

Kevin Stephens practices at 1715 E 95th St, Chicago, IL 60617. The listed phone number is (773) 768-4437.

What is Kevin Stephens's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Kevin Stephens enrolled in Medicare?

Yes. Kevin Stephens is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Kevin Stephens's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kevin Stephens reassigns Medicare benefits to 2 organizations: Oak Street Health Physicians Group, PC (Chicago, IL) and Hackensack Meridian Health Medical Group - Primary Care PC (Red Bank, NJ). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kevin Stephens's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Kevin Stephens was last updated on March 12, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.