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

Q: 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.

Q: What is Kathleen Detwiler's specialty?

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

Q: 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.

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: August 02, 2026.

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

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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

Phone(708) 202-7000

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

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Other Names 1

Former Name (1)Kathleen Elizabeth Mandell

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health Insurance, Oscar Health Maintenance Organization of Florida, Oscar Health Plan of North Carolina, Inc and more.Insurance ›

Medicare Participation & PECOS CMS

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

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.

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.

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