KATHLEEN ELIZABETH DETWILER PHD, MD
NPI 1932465259
Internal Medicine in Maywood, IL

Active since April 11, 2012PECOS EnrolledAccepts Medicare Assignment
2160 S 1ST AVE, LUH NORTH ENTRANCE, NUCLEAR MEDICINE, MAYWOOD, IL 60153(708) 202-7000(708) 216-6890 Get Directions Write a Review

NPPES record last updated: July 21, 2020. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Jul 21, 2020, Feb 10, 2016 (2 updates tracked since 2016).

About Kathleen Elizabeth Detwiler Phd, Md NPPES

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

KATHLEEN ELIZABETH DETWILER PHD, MD (NPI 1932465259) is an individual internal medicine provider in Maywood, Illinois, licensed in Illinois (XXXXXXXXXXXXXXXX) and active in the NPI registry since April 2012. She is enrolled in Medicare PECOS and is a graduate of Other (2012).

NPPES Registry Identity

NPI1932465259
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameKATHLEEN ELIZABETH DETWILERCredential: PHD, MD
Location Address2160 S 1ST AVE, LUH NORTH ENTRANCE, NUCLEAR MEDICINEMaywood, IL 60153-3328
Mailing Address248 E Quincy StRiverside, IL 60546-2178 · (630) 202-4852
Fax(708) 216-6890
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateApril 11, 2012
Last NPPES UpdateJuly 21, 20202 updates tracked since enumeration
NPPES CertifiedJuly 21, 2020
✔ NPI 1932465259 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in IL · XXXXXXXXXXXXXXXX
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedRadiology · Nuclear RadiologyTaxonomy 2085N0904X · License 125061472 (IL)
2160 S 1ST AVE, Maywood, IL 60153

Other Names 1

Former Name (1)Kathleen Elizabeth Mandell

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

Kathleen Elizabeth Detwiler Phd, Md 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 ID3274837356
PECOS Enrollment IDI20170328001447
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

3

Medicare enrollment records show Kathleen Detwiler reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

General Practice
4957 OAKTON ST, #306
Skokie, IL 60077
  • Reassigned Medicare billing, Illinois enrollment
  • 27 clinicians in this Medicare group
Undersea and Hyperbaric Medicine
1 MEMORIAL DR
Alton, IL 62002
  • Reassigned Medicare billing, Illinois enrollment
  • 39 clinicians in this Medicare group
Urgent Care
5080 SPECTRUM DR, SUITE 1200 WEST
Addison, TX 75001
  • Reassigned Medicare billing, Illinois enrollment
  • 51 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60153 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
$138.86 typical visit price
range $60.08 – $183.39
Typical copayment $34.71 (range $15.02 – $45.84)
Most-billed visit code 99204
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.

Referred Medical Equipment & Supplies CMS DME claims 8

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tape, non-waterproof, per 18 square inches A4450
DME-Medical/Surgical Supplies · category DA000N
1 supplier20 claims1,208 services$0.10 avg. paid by Medicare
Tape, waterproof, per 18 square inches A4452
DME-Medical/Surgical Supplies · category DA000N
1 supplier40 claims2,124 services$0.36 avg. paid by Medicare
Collagen dressing, sterile, size 16 sq. in. or less, each A6021
DME-Medical/Surgical Supplies · category DA023N
1 supplier19 claims214 services$20.30 avg. paid by Medicare
Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing A6212
DME-Medical/Surgical Supplies · category DA023N
1 supplier18 claims216 services$9.24 avg. paid by Medicare
Gauze, non-impregnated, non-sterile, pad size 16 sq. in. or less, without adhesive border, each dressing A6216
DME-Medical/Surgical Supplies · category DA023N
1 supplier39 claims7,900 services$0.04 avg. paid by Medicare
Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size more than 16 sq. in., but less than or equal to 48 sq. in., without adhesive border, each dressing A6223
DME-Medical/Surgical Supplies · category DA023N
1 supplier14 claims449 services$2.34 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Radiology (Diagnostic Radiology)
2160 S 1ST AVE
MAYWOOD, IL 60153
Podiatrist (Foot & Ankle Surgery)
2160 S 1ST AVE
MAYWOOD, IL 60153
Psychiatry & Neurology (Neurology)
2160 S 1ST AVE
MAYWOOD, IL 60153
Oral & Maxillofacial Surgery
2160 S 1ST AVE
MAYWOOD, IL 60153
Psychiatry & Neurology (Psychiatry)
2160 S 1ST AVE
MAYWOOD, IL 60153
Student in an Organized Health Care Education/Training Program
2160 S 1ST AVE
MAYWOOD, IL 60153
Orthopaedic Surgery
2160 S 1ST AVE
MAYWOOD, IL 60153
Internal Medicine
2160 S 1ST AVE
MAYWOOD, IL 60153

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 Kathleen Detwiler's NPI number?

The NPI number for Kathleen Detwiler is 1932465259. It was assigned to this individual provider in the NPPES registry on April 11, 2012. The provider is also known as Kathleen Elizabeth Mandell.

Where is Kathleen Detwiler located?

Kathleen Detwiler practices at 2160 S 1st Ave Luh North Entrance, Nuclear Medicine, Maywood, IL 60153. The listed phone number is (708) 202-7000.

What is Kathleen Detwiler's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Kathleen Detwiler enrolled in Medicare?

Yes. Kathleen Detwiler 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 Kathleen Detwiler's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kathleen Detwiler reassigns Medicare benefits to 3 organizations: Ameriwound Physicians Il LLC (Skokie, IL), Healogics Specialty Physicians Of Illinois, LLC (Alton, IL) and American Current Care Of Illinois PC (Addison, TX). 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 Kathleen Detwiler's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kathleen Detwiler accept?

Health plans from Oscar Health, Oscar Health Insurance, Oscar Health Maintenance Organization of Florida, Oscar Health Plan of North Carolina, Inc and Oscar Health Plan, Inc. and 2 other insurers list Kathleen Detwiler 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 Kathleen Detwiler was last updated on July 21, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.