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MR. KEN GABRIEL DOVERTE NP NPI 1417425547


NPI Information

NPI: 1417425547
Provider Name: MR. KEN GABRIEL DOVERTE, NP
Classification: Nurse Practitioner - 363LA2200X
Entity Type: Individual

Specialization: Adult Health

PECOS Registration: Yes

Address:
1420 RENAISSANCE DR STE 207
PARK RIDGE, IL
ZIP 60068
Phone: (847) 296-6161
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MR. Ken Gabriel Doverte, NP is an adult health nurse practitioner in Park Ridge, IL with 7 years of experience. MR. Ken Gabriel Doverte, NP NPI is 1417425547. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1420 RENAISSANCE DR STE 207
PARK RIDGE, IL
ZIP 60068-342
Phone: (847) 296-6161
Fax: (847) 574-7444

The NPI 1417425547 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Removal of skin and tissue first 20 sq cm or less (HCPCS:11042)
  • Removal of skin and tissue (HCPCS:11045)
  • Removal of tissue from wounds per session (HCPCS:97597)

The enumeration date for this NPI number is 11/7/2018 and was last updated on 3/31/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LA2200XNurse PractitionerAdult Health209018290ILLINOISYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.