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Deactivated NPI 1801805031 Deactivated / Inactive NPI Male Practitioner

Dr. John M Kostrey , MD

Pediatrics • Dekalb, IL

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. John Kostrey has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 05, 2006
NPI Deactivation Date April 30, 2026
Total Practice Duration ~20 Years of Practice (2006 – 2026)

Professional Overview & Biography Verified Profile Summary

Dr. John Kostrey, MD was a registered Pediatrics practicing in Dekalb, IL. Throughout an active medical career spanning 20 years, Dr. Kostrey provided care at the practice location at 217 FRANKLIN ST until profile deactivation on 2026-04-30.

Practice Location & Contact Primary Location

Practice Address

217 Franklin St

Dekalb, IL 601153742

Telephone 8157588671
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Dekalb, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 21.7 Yrs
Regional Practice Density
2 Specialists

Practicing in Dekalb, IL (3277 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Rajni Sud , RD, CDE

Dietitian, Registered

NPI 1033122650

Registered Dietitian, Certified Diabetes Educator

NPI 1083737985

Doctor of Medicine (M.D.)

NPI 1104683762

Advanced Practice Registered Nurse, Certified Nurse Practitioner

Teresa Farris , APN-BC

Nurse Practitioner - Adult Health

NPI 1114262656

APNBC

NPI 1114401833

Family Nurse Practitioner (Board Certified)

NPI 1134138365

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated April 30, 2026

Record deactivated on April 30, 2026

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 217 FRANKLIN ST, DEKALB, IL 601153742 (Tel: 8157588671)

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Updated Business Mailing Address July 08, 2007

Registered at 217 FRANKLIN ST, DEKALB, IL 601153742 (Tel: 8157588671)

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Provider Name / Credentials Updated July 08, 2007

Recorded as JOHN KOSTREY, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Pediatrics

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Initial NPI Registration & Enumeration August 05, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1801805031
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 05, 2006
Last Update: July 08, 2007
Deactivation Date: April 30, 2026

Mailing Address

217 Franklin St

Dekalb, IL 601153742

Phone: 8157588671

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.