DR. ALPHEUS T APPENHEIMER M.D. NPI 1417937632

NPI Information

  • NPI: 1417937632
  • Provider Name: DR. ALPHEUS T APPENHEIMER, M.D.
  • Classification: Family Medicine - 207QG0300X
  • Specialization: Geriatric Medicine
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: KSB MEDICAL GROUP
    102 S HENNEPIN AVE
    DIXON, IL
    ZIP 61021
  • Phone: (815) 288-7711

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NPI Details

DR. Alpheus T Appenheimer, M.D. is a geriatric medicine family medicine in Dixon, IL. The provider is a family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital. DR. Alpheus T Appenheimer, M.D. NPI is 1417937632. 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:

KSB MEDICAL GROUP
102 S HENNEPIN AVE
DIXON, IL
ZIP 61021
Phone: (815) 288-7711
Fax: (815) 285-8903

The NPI 1417937632 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 enumeration date for this NPI number is 1/23/2006 and was last updated on 8/27/2018.

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 Medicine036-058868ILLINOISNo
2207QH0002XFamily MedicineHospice and Palliative Medicine036-058868ILLINOISNo
3207QG0300XFamily MedicineGeriatric Medicine036-058868ILLINOISYes

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
1036058868MEDICAIDILLINOIS

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

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