KENNETH R. KROCK (MD) – Internal Medicine Physician, NPI 1699883868

KENNETH R. KROCK (MD) is a healthcare provider. based in Canton, Illinois. specializing in INTERNAL MEDICINE, PEDIATRIC MEDICINE. They hold the professional credentials MD. They hold a License No. 036079829 (IL). The NPI Number for KENNETH R. KROCK (MD) is 1699883868

Main info

Male
35 Years Of Experience
Accepts Medicare Assignment
Name
KENNETH R. KROCK (MD)
NPI
1699883868
Phone
(309) 647-0201
Address
180 S MAIN ST
Enumeration Date
28 August 2006
Last Update Date
7 April 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3096470201
Graduation Year
1991 (35 years ago)
PAC ID
3072406339
Group Practice PAC ID
2769375021
Professional Enrollment ID
I20080118000453
Address ID
IL615202608CA180XXSTXX400

Contacts

Secure Messaging
kenneth.krock@gmgil.eclinicaldirectplus.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness85
Years active:19State licenses:1Other namesUpdated within 12 months

8,824 INTERNAL MEDICINE in IL

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Provider Addresses for KENNETH R. KROCK (MD)

  • Graham Medical Group, 180, South Main Street, Canton, Fulton County, Illinois, 61520, United States

    CANTON, IL 615202608

    Phone: (309) 647-0201

    Fax: (309) 649-6880

    Mailing address matches the actual address.

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: 2008-01-18

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
I20080118000453IInternal MedicineILTBD

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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes627103$0
99238Hospital discharge day management, 30 minutes or less12590$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes12294$0
View full utilization report →

Insurance plans in this area (ZIP 61520)

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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: 2769375021View full group profile
NameSpecialtyState
-IL
Emergency MedicineIL
Nurse PractitionerIL
Vascular Surgery, General SurgeryIL
Nurse PractitionerIL
Nurse PractitionerIL
Vascular SurgeryIL
Family PracticeIL
Nurse PractitionerIL
Nurse PractitionerIL

Reviews

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Frequently asked questions

What unique ID ties claims to KENNETH R. KROCK (MD)?
NPI 1699883868 is assigned to KENNETH R. KROCK (MD) under the national enumeration system.
Does this profile mean KENNETH R. KROCK (MD) is currently active?
Yes — KENNETH R. KROCK (MD) appears active in the national provider directory.
Can you summarize KENNETH R. KROCK (MD)'s specialty in plain language?
Clinically, the directory lists KENNETH R. KROCK (MD) with Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Where does public data place KENNETH R. KROCK (MD)?
The snapshot lists Canton, Illinois for KENNETH R. KROCK (MD); download NPPES for the complete set.
Is KENNETH R. KROCK (MD) a real provider?
This page reflects official NPPES data for NPI 1699883868. Always confirm identity and privileges with the practice and licensing boards.

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