DR. PATRICK H MCKENNA MD
NPI 1952397051
Urology - Pediatric Urology in Rockford, IL

Q: What is Patrick Mckenna's NPI number?

The NPI number for Patrick Mckenna is 1952397051. It was assigned to this individual provider in the NPPES registry on September 23, 2005.

Q: What is Patrick Mckenna's specialty?

The primary specialty registered for this NPI is Urology, specializing in Pediatric Urology, with taxonomy code 2088P0231X.

Q: When was this NPI record last updated?

The NPPES record for Patrick Mckenna was last updated on September 25, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since September 23, 2005PECOS Enrolled

8201 E RIVERSIDE BLVD, ROCKFORD, IL 61114(815) 971-7255(815) 971-9955 Get Directions Write a Review

NPPES record last updated: September 25, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Dr. Patrick H Mckenna Md NPPES

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

DR. PATRICK H MCKENNA MD (NPI 1952397051) is an individual pediatric urology provider in Rockford, Illinois, licensed in Illinois (036103859) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS and maintains a secondary practice location in Janesville.

NPPES Registry Identity

NPI1952397051

Entity TypeIndividualMale

Primary Taxonomy2088P0231X

Provider Legal NameDR. PATRICK H MCKENNACredential: MD

Location Address8201 E RIVERSIDE BLVDRockford, IL 61114-2300

Mailing Address8201 E Riverside BlvdRockford, IL 61114-2300 · (815) 971-7255 · Fax (815) 971-9955

Phone(815) 971-7255

Fax(815) 971-9955

Sole ProprietorNo

Enumeration DateSeptember 23, 2005

Last NPPES UpdateSeptember 25, 2020

NPPES CertifiedSeptember 25, 2020

✔ NPI 1952397051 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyUrology · Pediatric UrologyAllopathic & Osteopathic Physicians

Taxonomy Code2088P0231X

Licenses✔ Licensed in IL · 036103859✔ Licensed in WI · 57335

Definition

Surgeons who can diagnose, treat, and manage children's urinary and genital problems. A pediatric urologist devotes a minimum of 50% of his or her practice to the urologic problems of infants, children, and adolescents. Pediatric urologists generally provide the following services: the evaluation and management of voiding disorders; vesicoureteral reflux, and urinary tract infections that require surgery; surgical reconstruction of the urinary tract (kidneys, ureters, and bladder) including genital abnormalities, hypospadias, and intersex conditions; surgery for groin conditions in childhood and adolescence (undescended testes, hydrocele/hernia, varicocele).

Also ListedUrologyTaxonomy 208800000X · License 036103859 (IL), 57335 (WI)

8201 E RIVERSIDE BLVD, Rockford, IL 61114

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Secondary Practice Location 1

Location 13524 E Milwaukee StJanesville, WI 53546-1626 · Phone (608) 756-7100 · Fax (608) 756-4700

Other Identifiers 2

Medicaid1952397051WI

Medicaid036103859IL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.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. Patrick H Mckenna Md 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.

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.

RHONDA J GALE APN-NNP-BC

Nurse Practitioner (Neonatal)