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DR. KATHLEEN CARROLL MOLINE D.O. NPI 1730373259


NPI Information

NPI: 1730373259
Provider Name: DR. KATHLEEN CARROLL MOLINE, D.O.
Classification: Family Medicine - 207Q00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
1800 N MAIN ST STE 102
WHEATON, IL
ZIP 60187
Phone: (630) 260-0600
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DR. Kathleen Carroll Moline, D.O. is a family medicine in Wheaton, IL with 19 years of experience. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. DR. Kathleen Carroll Moline, D.O. NPI is 1730373259. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: MIDWESTERN UNIVERSITY, CHICAGO COLLEGE OF OSTEOPATHIC MED
Graduation Year:2005

The provider's business location address is:

1800 N MAIN ST STE 102
WHEATON, IL
ZIP 60187-112
Phone: (630) 260-0600
Fax: (630) 260-1370

The NPI 1730373259 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.

  • Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
  • Administration of influenza virus vaccine (HCPCS:G0008)
  • Vaccine for influenza for injection into muscle (HCPCS:90662)
  • Hemoglobin a1c level (HCPCS:83036)
  • Administration of pneumococcal vaccine (HCPCS:G0009)
  • Automated urinalysis test (HCPCS:81003)
  • Routine ekg using at least 12 leads including interpretation and report (HCPCS:93000)

The enumeration date for this NPI number is 8/28/2007 and was last updated on 1/13/2020.


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
1207Q00000XFamily Medicine036119323ILLINOISYes
2207Q00000XFamily Medicine125-049243ILLINOISNo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1R03102OTHERILLINOISMEDICARE PTAN (INDIVIDUAL)
2CA4748OTHERILLINOISMEDICARE RAILROAD PTAN (GROUP)
3548190OTHERILLINOISMEDICARE PTAN (GROUP)
4P00646859OTHERILLINOISMEDICARE RAILROAD PTAN (INDIVIDUAL)

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.