OrganizationActive
Ksb Medical Group, Inc.
NPI 1629046115 · Clinic/Center · Dixon, IL
Ksb Medical Group, Inc. is a Clinic/Center organization in Dixon, IL (NPI 1629046115).
Provider details
- NPI number
- 1629046115
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Kevin Marx, Vice President(815) 285-5508
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(91/100 index)
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
215 E 1st St
Ste 101
Dixon, IL 61021-3166
Phone: (815) 285-5973
Fax: (815) 285-5974
Street-level locationGet directions
Mailing address
215 E 1st St
Dixon, IL 61021-3166
Other names (DBA / former)
- Doing business as
- Ksb Center for Diabetes Management
Registry dates
- Enumerated
- 2006-03-09
- Last updated
- 2020-08-22
Frequently asked questions
- What is Ksb Medical Group, Inc.'s NPI number?
- Ksb Medical Group, Inc.'s National Provider Identifier (NPI) is 1629046115, 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 Clinic/Center (Ambulatory Health Care Facilities).
- Where is Ksb Medical Group, Inc. located?
- Ksb Medical Group, Inc.'s practice location on file with NPPES is 215 E 1st St, Dixon, IL 61021-3166.
- 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) 285-5973.
- Who is the authorized official for Ksb Medical Group, Inc.?
- The authorized official listed on Ksb Medical Group, Inc.'s NPPES record is Kevin Marx, Vice President. 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 (1629046115) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.