OrganizationActive
Genesis Pediatric Medicine, LLC
NPI 1912295494 · Pediatrics Physician · Sycamore, IL
Genesis Pediatric Medicine, LLC is a Pediatrics Physician organization in Sycamore, IL (NPI 1912295494).
Provider details
- NPI number
- 1912295494
- Entity type
- Organization
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Mark Regnier, President(815) 899-0001
- License
- 036097453 (IL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(81/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 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
1830 Mediterranean Dr
Sycamore, IL 60178-3144
Phone: (815) 899-0001
Fax: (815) 899-0002
Street-level locationGet directions
Mailing address
1830 Mediterranean Dr
Sycamore, IL 60178-3144
Registry dates
- Enumerated
- 2011-07-18
- Last updated
- 2011-07-18
Frequently asked questions
- What is Genesis Pediatric Medicine, LLC's NPI number?
- Genesis Pediatric Medicine, LLC's National Provider Identifier (NPI) is 1912295494, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Genesis Pediatric Medicine, LLC?
- Genesis Pediatric Medicine, LLC is classified in the NPPES registry as Pediatrics Physician (Allopathic & Osteopathic Physicians).
- Where is Genesis Pediatric Medicine, LLC located?
- Genesis Pediatric Medicine, LLC's practice location on file with NPPES is 1830 Mediterranean Dr, Sycamore, IL 60178-3144.
- What is Genesis Pediatric Medicine, LLC's phone number?
- The practice phone number listed in the NPPES registry for Genesis Pediatric Medicine, LLC is (815) 899-0001.
- Who is the authorized official for Genesis Pediatric Medicine, LLC?
- The authorized official listed on Genesis Pediatric Medicine, LLC's NPPES record is Mark Regnier, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Genesis Pediatric Medicine, LLC's NPI active?
- Yes — Genesis Pediatric Medicine, LLC's NPI (1912295494) is active in the NPPES registry as of the last update on 2011-07-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.