MR. FREDERICK OTTO KIST – Contractor, NPI 1366450769

MR. FREDERICK OTTO KIST is a healthcare provider. based in Inverness, Illinois. specializing in Contractor. The NPI Number for MR. FREDERICK OTTO KIST is 1366450769

Main info

Male
Sole Proprietor
Name
MR. FREDERICK OTTO KIST
NPI
1366450769
Phone
(847) 358-6526
Address
1615 PHEASANT TRL
Enumeration Date
3 August 2006
Last Update Date
8 July 2007
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:19State licenses:0Digital endpointsOther names

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Provider Addresses for MR. FREDERICK OTTO KIST

  • 1615, Pheasant Trail, Inverness, Palatine Township, Cook County, Illinois, 60067, United States

    INVERNESS, IL 600674619

    Phone: (847) 358-6526

    Fax: (847) 358-6536

    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.

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

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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 60067)

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Reviews

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Frequently asked questions

Is MR. FREDERICK OTTO KIST listed with a National Provider Identifier?
Yes — MR. FREDERICK OTTO KIST has NPI 1366450769 on file in the registry.
Is there an active status for MR. FREDERICK OTTO KIST?
For scheduling context, MR. FREDERICK OTTO KIST is shown as active in the registry.
What kind of doctor is MR. FREDERICK OTTO KIST?
MR. FREDERICK OTTO KIST is associated with Contractor in the directory — Clinical services aligned with this taxonomy classification.
Is MR. FREDERICK OTTO KIST located near Inverness?
MR. FREDERICK OTTO KIST currently maps to Inverness, Illinois in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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