NPPES file of Aug 9, 2026

John Kevin Paulsen, M.D.

Surgery Physician · Peoria, IL

John Kevin Paulsen, M.D. is a surgery physician with a practice address in Peoria, Illinois, and NPI 1174552681, issued on Jun 30, 2006. Check the license (Illinois 036050399, as entered in NPPES) on the Illinois Department of Financial and Professional Regulation; the federal record below is the public data PlainDoctor holds for this provider.

Record from CMS NPPES, file of Aug 9, 2026 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1174552681
Name
John Kevin Paulsen
Credential
M.D.
Primary taxonomy
Surgery Physician 208600000X
License number
036050399 IL
Self-reported in NPPES; status is on the state search
Practice location
7303 N Knoxville Ave, Peoria, IL 61614
Phone
(309) 691-4005
Enumerated
Jun 30, 2006
Record last updated
Feb 29, 2016 (not updated in 10 years: call before relying on the address or phone)
Fax
(309) 691-6144
Medicaid ID
036050399-2 IL
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). A record is not a license: verify it with the state board.
Download card Updates feed

Also registered at 7303 N Knoxville Ave

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Michele Klein, CST/CFASurgical Technologist1922285717
  2. Beth Myers, CSTSurgical Technologist1831376631
  3. Gavish Patel, M.D.Specialist1821080078
  4. Jayme Phillips, PA-CPhysician Assistant1316331408

Verify John Kevin Paulsen in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersIllinois Department of Financial and Professional Regulation
    Search for license 036050399
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Open the Illinois license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

Is this page about you? You can ask us to correct, restrict or remove it: how.

Surgery Physician providers in Illinois

There are 1,520 surgery physician records in Illinois. No Medicare prescribing, quality score, industry payment or hospital affiliation is published for this NPI.

Other surgery physician records in Illinois

  1. Douglas Aach, MDShiloh, IL1508817040
  2. Andrew Abadier, DOChicago, IL1124657473
  3. Shabirhusain Abadin, M.D.Chicago, IL1467712596
  4. Iftikharul Abbasy, MDOak Brook, IL1104814755
  5. Mahmoud Abd-El-Hafez, MDSpringfield, IL1710516943
  6. Samir Abdo, M.D.Eldorado, IL1578612982
  7. Chandrakumaran Abivarma, M.D.Park Ridge, IL1467135137
  8. Gerard Abood, M.DMaywood, IL1629237227
  9. Mohammad Abou El-Ezz, MDChicago, IL1790536746
  10. Gifty Abraham, M.D.Maywood, IL1881039279

Common questions

What is John Kevin Paulsen, M.D.'s NPI number?

John Kevin Paulsen, M.D.'s National Provider Identifier (NPI) is 1174552681, issued on Jun 30, 2006. An NPI identifies a provider in billing; it is not a license.

Where is John Kevin Paulsen, M.D. located?

The NPPES record lists a practice address at 7303 N Knoxville Ave, Peoria, IL, 61614. Phone: (309) 691-4005. Providers update this record themselves, so call before visiting.

How can I verify John Kevin Paulsen, M.D.'s license?

NPPES lists Illinois license number 036050399, as entered by the provider. Search the Illinois Department of Financial and Professional Regulation at https://idfpr.illinois.gov/checklicense.html. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.