Physician Profile

Kenneth J. Minielly, M.D.

Unclaimed Profile

About Dr. Minielly

Kenneth J. Minielly, M.D. practices dermatology in Springfield, IL. Kenneth is a 2020 graduate of Southern Illinois University School of Medicine. According to Medicare claims data, Kenneth cared for 4,508 Medicare patients across 8,633 services. The services billed most often include destruction of precancer skin growth, 2-14 growths, established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more, and destruction of precancer skin growth, 1 growth. The provider's National Provider Identifier (NPI) is 1699125062.

Factual summary compiled by Guide.md from public records; not written by this provider.

Specialty

Dermatology (Primary)

Credentials & Licensing

IL licenceAs reported to the NPI registry
No. 125-068691As reported
NPINational Provider Identifier
1699125062Issued 2016

As reported to the NPI registry ↗

Medicare information

Accepts Medicare assignmentYes
Medicare opt-outNo
Can order and refer in MedicareYes

Exactly as CMS reports it (National Downloadable File, Opt-Out Affidavits, Order & Referring). Not an insurance directory; confirm coverage with the office.

Common questions

What kind of doctor is Kenneth J. Minielly?

Kenneth J. Minielly is a dermatologist (skin doctor) in Springfield, IL. That is the designation recorded for this NPI in the federal registry, where it is listed as “Dermatology”.

NPI registry

What is Kenneth J. Minielly's address?

Kenneth J. Minielly is listed at 751 N Rutledge St Ste 2300, Springfield, IL 62702. Addresses come from the NPI registry and can lag a move, so confirm before travelling.

NPI registry

How can I make an appointment with Kenneth J. Minielly?

The number on file is (217) 545-8000. Contact the office directly to confirm availability and scheduling.

NPI registry

What is Kenneth J. Minielly's NPI number?

Kenneth J. Minielly's National Provider Identifier is 1699125062. It is issued by the Centers for Medicare & Medicaid Services and is unique and permanent — it does not change if they move practice.

NPI registry

Where did Kenneth J. Minielly train?

Kenneth J. Minielly attended Southern Illinois University School of Medicine, graduating in 2020. This comes from the CMS National Downloadable File.

CMS public data

How long has Kenneth J. Minielly been practicing?

Kenneth J. Minielly has 6 years experience. Calculated from a graduation year of 2020, reported in the CMS National Downloadable File.

CMS public data

What procedures does Kenneth J. Minielly perform?

According to Medicare billing data, Kenneth J. Minielly performs procedures including destruction of precancer skin growth, 2-14 growths, destruction of precancer skin growth, 1 growth and incision biopsy, first skin growth, alongside routine visits and testing. This reflects Medicare patients only and is billing volume, not a measure of quality.

Medicare claims

Has Kenneth J. Minielly confirmed this information?

Not yet. This profile is built from public federal data and has not been confirmed by Kenneth J. Minielly. If this is you, claiming it is free.

Guide.md

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