Kendall Boone, M.D.
Kendall Boone, M.D. is a Vascular Surgery Physician in Rockford, IL, registered under NPI 1861498909. This provider registers 2 separate taxonomy codes, which usually means they practise across more than one recognised specialty.
Getting there
The practice address on file is 1340 CHARLES ST, Rockford, IL 61104. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| 036101179 | IL | Vascular Surgery Physician primary |
| 036101179 | IL | Trauma Surgery Physician |
| 66852 | WI | Vascular Surgery Physician |
Licences are recorded in 2 states: IL, WI. Providers licensed in several states often practise near a state border or deliver telehealth across state lines.
- Status
- Approved
- Provider type
- Practitioner - Vascular Surgery
- PAC ID
- 5698757862
- Enrollment ID
- I20041108000269
Medicare enrolment is recorded as approved under the provider type Practitioner - Vascular Surgery. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
Licensed in 2 states
This provider holds licences in 2 states: Illinois and Wisconsin. The practice address on file is in Rockford, IL, but a licence in another state usually means they see patients there too — either at a second location or by telehealth. If the address above is far from you, it is worth calling to ask whether they practise closer to where you live.
- Licence
- 036101179
- Specialty
- Vascular Surgery Physician
Licence numbers are self-reported to NPPES at registration. They do not confirm a licence is currently active, in good standing, or valid for the specialty shown — only the state board can tell you that, which is why we link to each one.
What Vascular Surgery covers
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. NUCC Health Care Provider Taxonomy, code 2086S0129X
All registered taxonomy codes
This provider registers 3 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 2086S0129X | Vascular Surgery Physician Vascular Surgery | 036101179 | IL | primary |
| 2086S0127X | Trauma Surgery Physician Trauma Surgery | 036101179 | IL | |
| 2086S0129X | Vascular Surgery Physician Vascular Surgery | 66852 | WI |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.
| NPI | 1861498909 valid check digit |
|---|---|
| Entity type | Individual (NPI-1) |
| Enumeration date | Jun 23, 2005 |
| Last updated | Mar 21, 2024 |
| Status | Active |
| Sole proprietor | No |
| Credential | M.D. |
| Practice address |
1340 CHARLES ST Rockford, IL 61104 (779) 696-8799 |
| Mailing address |
7974 UW HEALTH CT Middleton, WI 53562 |
| Other identifiers |
2045754001
· Other (IL) 194273 · Other (IL) |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 8 | 6 | 1 | 4 | 9 | 8 | 9 | 0 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 8 | 3 | 1 | 8 | 9 | 7 | 9 | 0 |
Sum = 71 · next multiple of 10 = 80 · check digit = 9 · actual last digit = 9
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.