KENNETH C LEEBERG (CRNA) – Certified Registered Nurse Anesthetist, NPI 1093172132

KENNETH C LEEBERG (CRNA) is a healthcare provider. based in Plainfield, Illinois. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. 209013780 (IL). The NPI Number for KENNETH C LEEBERG (CRNA) is 1093172132

Main info

Male
11 Years Of Experience
Accepts Medicare Assignment
Name
KENNETH C LEEBERG (CRNA)
NPI
1093172132
Phone
(630) 567-2132
Address
23654 SPRINGS CT UNIT 119
Enumeration Date
20 January 2016
Last Update Date
21 July 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8157257133
Graduation Year
2015 (11 years ago)
PAC ID
8123322054
Group Practice PAC ID
3971498924
Professional Enrollment ID
I20160212000883
Address ID
IL604358200JO333XXSTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness75
Years active:10State licenses:2Digital endpointsOther names

2,265 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in IL

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Provider Addresses for KENNETH C LEEBERG (CRNA)

  • 23654 SPRINGS CT UNIT 119

    PLAINFIELD, IL 605852243

    Phone: (630) 567-2132

    Type: Mailing

  • 19624, Governors Highway, Sunny Crest, Flossmoor, Rich Township, Cook County, Illinois, 60422, United States

    FLOSSMOOR, IL 604222077

    Phone: (708) 798-5838

    Fax: (708) 798-5865

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 8 Open Payments records for all available years, with a total value of $175.

Total Amount is formed as General ($175) + Research ($0) + Ownership ($0) = $175.

Last reported payment date: 2024-12-11 • Largest payer in this snapshot: Getinge USA Sales, LLC ($94).

Total Amount

$175

General + Research + Ownership

Payments

8

Total payment records

General Amount

$175

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-11

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2016-02-12

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20160212000883ICertified Registered Nurse Anesthetist (Crna)ILTBD

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
00731Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope1717$0
00813Anesthesia for procedure on small and large bowel using an endoscope1313$0
01926Anesthesia for x-ray on artery of brain, heart, or chest1313$0
View full utilization report →

Insurance plans in this area (ZIP 60585)

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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: 3971498924View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)IN
A N E S T H E S I O L O G YIL
-IL
Certified Registered Nurse Anesthetist (Crna)IL
-GA
-MI
A N E S T H E S I O L O G YIL
Certified Registered Nurse Anesthetist (Crna)IL
Certified Registered Nurse Anesthetist (Crna)IL
-MI

Reviews

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Frequently asked questions

Can I use this page to confirm KENNETH C LEEBERG (CRNA)'s NPI?
Yes. KENNETH C LEEBERG (CRNA) is listed with NPI 1093172132 in the public NPI dataset.
Is KENNETH C LEEBERG (CRNA) listed as active for patients and plans?
The listing shows KENNETH C LEEBERG (CRNA) as active in the NPI system.
What healthcare role does KENNETH C LEEBERG (CRNA) hold?
Scheduling teams often label KENNETH C LEEBERG (CRNA) under Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
What address line appears for KENNETH C LEEBERG (CRNA)?
KENNETH C LEEBERG (CRNA)'s geographic hint is Plainfield, Illinois in our summary view.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.