Ksb Medical Group, Inc.
NPI 1073592119 · Family Medicine Physician · Dixon, IL
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Ksb Medical Group, Inc. is a Family Medicine Physician organization in Dixon, IL (NPI 1073592119).
Provider details
- NPI number
- 1073592119
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Austin Frazier, Cfo(815) 285-5521
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Interventional Cardiology Physician207RI0011X
Allopathic & Osteopathic Physicians
- Obstetrics & Gynecology Physician207V00000X
Allopathic & Osteopathic Physicians
- Ophthalmology Physician207W00000X
Allopathic & Osteopathic Physicians
- Orthopaedic Surgery Physician207X00000X
Allopathic & Osteopathic Physicians
- Otolaryngology Physician207Y00000X
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-01-16
- Last updated
- 2022-12-28
- Certified
- 2022-12-28
Frequently asked questions
- What is Ksb Medical Group, Inc.'s NPI number?
- Ksb Medical Group, Inc.'s National Provider Identifier (NPI) is 1073592119, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Ksb Medical Group, Inc.?
- Ksb Medical Group, Inc. is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Ksb Medical Group, Inc. located?
- Ksb Medical Group, Inc.'s practice location on file with NPPES is 403 E 1st St, Dixon, IL 61021-3116.
- What is Ksb Medical Group, Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Ksb Medical Group, Inc. is (815) 285-5507.
- Does Ksb Medical Group, Inc. accept Medicare?
- Ksb Medical Group, Inc. is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Ksb Medical Group, Inc.?
- The authorized official listed on Ksb Medical Group, Inc.'s NPPES record is Austin Frazier, Cfo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Ksb Medical Group, Inc.'s NPI active?
- Yes — Ksb Medical Group, Inc.'s NPI (1073592119) is active in the NPPES registry as of the last update on 2022-12-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.