KEVIN BETHKE M.D. NPI 1356338883

NPI Information

  • NPI: 1356338883
  • Provider Name: KEVIN BETHKE, M.D.
  • Classification: Surgery - 208600000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 676 N SAINT CLAIR ST
    SUITE 1525A
    CHICAGO, IL
    ZIP 60611
  • Phone: (312) 943-2746

Map and Directions

Get Directions

NPI Details

Kevin Bethke, M.D. is a surgery in Chicago, IL with 43 years of experience. The provider is a general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. Kevin Bethke, M.D. NPI is 1356338883. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Graduation Year:1983

The provider's business location address is:

676 N SAINT CLAIR ST
SUITE 1525A
CHICAGO, IL
ZIP 60611-927
Phone: (312) 943-2746
Fax: (312) 266-1411

The NPI 1356338883 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.

  • New patient office or other outpatient visit, 60-74 minutes (HCPCS:99205)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Partial removal of breast (HCPCS:19301)
  • Imaging of lymph nodes during surgery (HCPCS:38900)
  • Biopsy or removal of deep lymph nodes of underarm (HCPCS:38525)
  • Repair of wound of trunk by transferring skin, 10.1-30.0 sq cm (HCPCS:14001)
  • Simple complete removal of breast (HCPCS:19303)
  • Established patient office or other outpatient visit, 40-54 minutes (HCPCS:99215)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Mastectomy (HCPCS:NAN04)
  • Melanoma (skin cancer) excision (HCPCS:NAN03)

The enumeration date for this NPI number is 9/30/2005 and was last updated on 7/8/2007.

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
1208600000XSurgeryILLINOISYes

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
101621690OTHERILLINOISBLUE SHIELD
2E39999MEDICARE UPIN
3425230MEDICARE ID-TYPE UNSPECIFIEDILLINOIS

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: 11/21/2025

NPI Synchronization or Removal

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.