KERLINE DUCTAN (M.D.) – Internal Medicine Physician, NPI 1073826715

KERLINE DUCTAN (M.D.) is a healthcare provider. based in Evanston, Illinois. specializing in INTERNAL MEDICINE. They hold the professional credentials M.D.. They hold a License No. 036-131088 (IL). The NPI Number for KERLINE DUCTAN (M.D.) is 1073826715

Main info

Female
17 Years Of Experience
Accepts Medicare Assignment
Name
KERLINE DUCTAN (M.D.)
NPI
1073826715
Phone
(786) 303-3676
Address
PO BOX 5451
Enumeration Date
22 July 2010
Last Update Date
18 October 2022

Doctor Profile

Medical School Name
UNIVERSITY OF LOUISVILLE SCHOOL OF MEDICINE
Secondary Phone
6088736611
Graduation Year
2009 (17 years ago)
PAC ID
0749416337
Group Practice PAC ID
7012825706
Professional Enrollment ID
I20131204002164
Address ID
WI535891864ST900XXSTXX300
Telehealth
Yes

Contacts

Secure Messaging
kductan331245@direct-ehr-ssmhc.com
FHIR Endpoint
https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/
Secure Messaging
kductan225594@direct.myadvocateaurora.org
FHIR Endpoint
https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience72
Completeness85
Years active:15State licenses:3Other namesUpdated within 12 months

8,824 INTERNAL MEDICINE in IL

Provider Addresses for KERLINE DUCTAN (M.D.)

  • PO BOX 5451

    EVANSTON, IL 60204

    Phone: (786) 303-3676

    Type: Mailing

  • 1300 FRANKLIN AVE STE 380

    NORMAL, IL 617614266

    Phone: (309) 268-3598

    Fax: (309) 268-2536

    Type: Location

  • 2650 RIDGE AVE

    EVANSTON, IL 602011718

    Phone: (847) 570-2509

    Type: Location

  • 2650 Ridge Ave

    Evanston, IL 602011718

    Phone: (847) 570-2509

    Type: Location

  • 2320 E 93rd St

    Chicago, IL 606173909

    Phone: (773) 967-5932

    Fax: (773) 967-5942

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-06-03

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 5 Medicare enrollment records; no due dates published yet.

Enrollment records

5

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20131204002164IInternal MedicineWITBD
I20131230001651IInternal MedicineILTBD
I20141022000200IInternal MedicineIATBD
I20220910000289IInternal MedicineTXTBD
I20250603002381IInternal MedicineKSTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes375337$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes4848$0
99291Critical care, first 30-74 minutes4745$0
G0407Follow-up inpatient consultation, intermediate, physicians typically spend 25 minutes communicating with the patient via telehealth1212$0
View full utilization report →

Insurance plans in this area (ZIP 60204)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7012825706View full group profile
NameSpecialtyState
Physician AssistantPA
-WI
Orthopedic SurgeryWI
-WI
General SurgeryWI
Physician AssistantWI
Emergency MedicineWI
Certified Registered Nurse Anesthetist (Crna)WI
-WI
Certified Registered Nurse Anesthetist (Crna)WI

Reviews

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Frequently asked questions

How do I look up KERLINE DUCTAN (M.D.) by NPI?
Use NPI 1073826715 when you need to reference KERLINE DUCTAN (M.D.) in forms, claims, or directories.
Is KERLINE DUCTAN (M.D.) active in the national directory?
KERLINE DUCTAN (M.D.)'s public NPI profile is in an active state.
What field does KERLINE DUCTAN (M.D.) work in?
You can think of KERLINE DUCTAN (M.D.) as practicing within Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Does KERLINE DUCTAN (M.D.) practice in Illinois?
You will see Evanston, Illinois on file for KERLINE DUCTAN (M.D.) alongside any extra practice locations.
What if Evanston, Illinois seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.