ANTHONY W. KITSLAAR, M.D. — NPI 1427598432 (Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center in GENEVA, IL)

CMS-1500 Box 24J / 33a • NPI

1427598432

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

261QX0100X

Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center

Box 32 Service Location & ZIP+4

1250 EXECUTIVE PL, SUITE 403, GENEVA, IL, 60134-3807

✓ 9-Digit EDI 837 ZIP+4 (60134-3807)

Practice Phone & Referral Fax

(630) 302-3336

Direct NPPES Verification Line

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1427598432 (ANTHONY W. KITSLAAR, M.D.) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1427598432` (NPI-2 Organization / Facility)
Provider / Legal Name	ANTHONY W. KITSLAAR, M.D.
Plain-English Specialty	Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center NUCC Code: `261QX0100X` (Clinic/Center, Occupational Medicine)
Certifying / Licensing Body	Accreditation Association for Ambulatory Health Care (AAAHC) / CMS
Practice Location Address	1250 EXECUTIVE PL, SUITE 403, GENEVA, IL, 60134-3807
Practice Telephone / Fax	Tel: (630) 302-3336
Administrative Mailing Address	1250 EXECUTIVE PL, GENEVA, IL, 60134-3807
Enumeration & Last Sync	Enumerated: 2017-02-24 \| CMS Record Updated: 2017-02-24
Authorized Official	ANTHONY KITSLAAR (Sole Proprietor)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

1250 EXECUTIVE PL, SUITE 403, GENEVA, IL, 60134-3807

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Plain-English Taxonomy & CMS Crosswalk (261QX0100X)

What Does Taxonomy Code 261QX0100X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 261QX0100X translates to:
"Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center"

CMS-1500 Medicare Specialty Crosswalk: Standard HIPAA X12N 837P / CMS-1500
Certifying / Accrediting Authority: Accreditation Association for Ambulatory Health Care (AAAHC) / CMS
Clinical Scope: Same-day outpatient consultations, urgent walk-in medical care, vaccinations, and day-case diagnostic procedures.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (ANTHONY W. KITSLAAR, M.D.)

Typical CPT / Diagnostic Procedures:

Walk-In Urgent Care Evaluation, Point-of-Care Testing & X-Ray
Same-Day Ambulatory Endoscopy, Cataract & Minor Surgical Procedures

Common Therapeutic Classes:

Outpatient Oral Antimicrobials, Analgesics, Nebulizers & Vaccines

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`261QX0100X` — Clinic/Center, Occupational Medicine Plain English: Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center	State: IL \| License: `036.072436` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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ANTHONY W. KITSLAAR, M.D. (NPI #1427598432)