DR. KENDALL D BOONE M.D.
NPI 1861498909
Surgery - Vascular Surgery in Rockford, IL
About Dr. Kendall D Boone M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. KENDALL D BOONE M.D. (NPI 1861498909) is an individual vascular surgery provider in Rockford, Illinois, licensed in Illinois (036101179) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS, is affiliated with Fhn Memorial Hospital, and is a graduate of University Of Texas Medical School At San Antonio (1992).
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 2
Accepted Insurance
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
Dr. Kendall D Boone M.d. 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.
Medicare Billing Reassignments
3Medicare enrollment records show Kendall Boone reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Rockford, IL 61104
- Reassigned Medicare billing, Illinois enrollment
- 474 clinicians in this Medicare group
Rockford, IL 61103
- Reassigned Medicare billing, Illinois enrollment
- 1,375 clinicians in this Medicare group
Rockford, IL 61107
- Reassigned Medicare billing, Illinois enrollment
- 24 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 10
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Fhn Memorial Hospital
Acute Care Hospitals · Freeport, ILUw Health
Acute Care Hospitals · Rockford, ILSaint Anthony Medical Center
Acute Care Hospitals · Rockford, ILPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 61104 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
ROCKFORD, IL 61104
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 Kendall Boone's NPI number?
The NPI number for Kendall Boone is 1861498909. It was assigned to this individual provider in the NPPES registry on June 23, 2005.
Where is Kendall Boone located?
Kendall Boone practices at 1340 Charles St, Rockford, IL 61104. The listed phone number is (779) 696-8799.
What is Kendall Boone's specialty?
The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.
Is Kendall Boone enrolled in Medicare?
Yes. Kendall Boone 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 Kendall Boone's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kendall Boone reassigns Medicare benefits to 3 organizations: Swedishamerican Hospital (Rockford, IL), Rockford Health Physicians (Rockford, IL) and Rna Of Rockford, PLLC (Rockford, IL). 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 Kendall Boone's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kendall Boone accept?
Health plans from Aspirus Health Plan and Quartz list Kendall Boone 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.
Is Kendall Boone affiliated with any hospitals?
According to CMS data, Kendall Boone is affiliated with Fhn Memorial Hospital, Uw Health and Saint Anthony Medical Center.
When was this NPI record last updated?
The NPPES record for Kendall Boone was last updated on March 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Dr. Kendall D Boone, M.D. · NPI 1861498909
Vascular Surgery physician in Rockford, Illinois. Individual provider, active in the CMS NPPES registry since June 23, 2005.
## Identity
- **NPI:** 1861498909 (Entity type: Individual)
- **Enumerated:** June 23, 2005
- **Primary specialty:** Surgery - Vascular Surgery · taxonomy 2086S0129X
- **State license:** 036101179 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 1340 CHARLES ST, Rockford, IL 61104-2200
- **Phone:** (779) 696-8799
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Swedishamerican Hospital (NPI 1154476802, Rockford, IL); Rockford Health Physicians (NPI 1023275278, Rockford, IL); Rna Of Rockford, PLLC (NPI 1336326388, Rockford, IL) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Texas Medical School At San Antonio, class of 1992
## Record status
- **NPPES last updated:** March 21, 2024
- **Other identifiers:** Other 2045754001 (IL); Other 194273 (IL)
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Source: [NPI Profile](https://npiprofile.com/npi/1861498909) · Data from the CMS NPPES public registry.