KENNETH J NELSON (M.D.) – Obstetrics & Gynecology Physician, NPI 1649262023

KENNETH J NELSON (M.D.) is a healthcare provider. based in Bannockburn, Illinois. specializing in Obstetrics & Gynecology Physician. They hold the professional credentials M.D.. They hold a License No. 036065299 (IL). The NPI Number for KENNETH J NELSON (M.D.) is 1649262023

Main info

Male
47 Years Of Experience
Accepts Medicare Assignment
Name
KENNETH J NELSON (M.D.)
NPI
1649262023
Phone
(847) 562-1410
Address
2801 LAKESIDE DR STE 209
Enumeration Date
22 August 2005
Last Update Date
23 January 2020

Doctor Profile

Medical School Name
NORTHWESTERN UNIVERSITY FEINBERG MEDICAL SCHOOL
Secondary Phone
8476733130
Graduation Year
1979 (47 years ago)
PAC ID
3870494123
Group Practice PAC ID
7012818354
Professional Enrollment ID
I20071017000455
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

Provider Addresses for KENNETH J NELSON (M.D.)

  • Lakeside Drive, Bannockburn, Illinois, United States

    BANNOCKBURN, IL 600151271

    Phone: (847) 562-1410

    Fax: (847) 562-0830

    Type: Mailing

  • 4905 OLD ORCHARD CTR STE 200

    SKOKIE, IL 600771462

    Phone: (847) 869-5800

    Fax: (847) 869-9315

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $32.

Total Amount is formed as General ($32) + Research ($0) + Ownership ($0) = $32.

Last reported payment date: 2023-03-03 • Largest payer in this snapshot: ABBVIE INC. ($32).

Total Amount

$32

General + Research + Ownership

Payments

1

Total payment records

General Amount

$32

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-03-03

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
ABBVIE INC.$32
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.

No Medicare enrollment or revalidation data available for this provider in our database.

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 60015)

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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: 7012818354View full group profile
NameSpecialtyState
O B S T E T R I C S/ G Y N E C O L O G YIL
O B S T E T R I C S/ G Y N E C O L O G YIL
-IL
-IL
O B S T E T R I C S/ G Y N E C O L O G YIL
O B S T E T R I C S/ G Y N E C O L O G YIL
Nurse PractitionerIL
-IL
O B S T E T R I C S/ G Y N E C O L O G YIL
O B S T E T R I C S/ G Y N E C O L O G YIL

Reviews

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Frequently asked questions

Can I verify KENNETH J NELSON (M.D.) with an NPI only?
You can start verification with NPI 1649262023 for KENNETH J NELSON (M.D.), then check state licensing separately.
Is KENNETH J NELSON (M.D.) listed as active for patients and plans?
The listing shows KENNETH J NELSON (M.D.) as active in the NPI system.
What healthcare role does KENNETH J NELSON (M.D.) hold?
Scheduling teams often label KENNETH J NELSON (M.D.) under Obstetrics & Gynecology Physician. Clinical services aligned with this taxonomy classification.
Where should I expect KENNETH J NELSON (M.D.) on a map?
Expect Bannockburn, Illinois as a primary anchor for KENNETH J NELSON (M.D.) unless the record lists multiple sites.
Why does KENNETH J NELSON (M.D.) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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