OrganizationActive
Med Peds Associates
NPI 1649353970 · Non-Pharmacy Dispensing Site · Kankakee, IL
Med Peds Associates is a Non-Pharmacy Dispensing Site organization in Kankakee, IL (NPI 1649353970).
Provider details
- NPI number
- 1649353970
- Entity type
- Organization
- Primary specialty
- Non-Pharmacy Dispensing SiteSuppliers
- Organization subpart
- No
- Authorized official
- Direndia Shackelford, Managed Care Specialist(800) 654-0889
- License
- 036074737 (IL)
Specialties & taxonomies
Suppliers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
375 N Wall St Ste P520
Kankakee, IL 60901-3493
Phone: (815) 933-0194
Fax: (815) 933-1444
Street-level locationGet directions
Mailing address
375 N Wall St Ste P520
Kankakee, IL 60901-3493
Other names (DBA / former)
- Doing business as
- Med Peds Associates
Registry dates
- Enumerated
- 2006-10-23
- Last updated
- 2008-09-03
Frequently asked questions
- What is Med Peds Associates's NPI number?
- Med Peds Associates's National Provider Identifier (NPI) is 1649353970, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Med Peds Associates?
- Med Peds Associates is classified in the NPPES registry as Non-Pharmacy Dispensing Site (Suppliers).
- Where is Med Peds Associates located?
- Med Peds Associates's practice location on file with NPPES is 375 N Wall St Ste P520, Kankakee, IL 60901-3493.
- What is Med Peds Associates's phone number?
- The practice phone number listed in the NPPES registry for Med Peds Associates is (815) 933-0194.
- Who is the authorized official for Med Peds Associates?
- The authorized official listed on Med Peds Associates's NPPES record is Direndia Shackelford, Managed Care Specialist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Med Peds Associates's NPI active?
- Yes — Med Peds Associates's NPI (1649353970) is active in the NPPES registry as of the last update on 2008-09-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.