KENDRA DIONNE SHEPPARD (MD) – Geriatric Medicine (Internal Medicine) Physician, NPI 1760518658
Geriatric Medicine (Internal Medicine) Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for KENDRA DIONNE SHEPPARD (MD)
1020 Tuscaloosa Ave SW
Birmingham, AL 35211
Phone: (205) 788-6330
Type: Location
1521 11th Ave S
Birmingham, AL 352940001
Phone: (205) 996-2770
Type: Location
1116 20TH ST S # 405
BIRMINGHAM, AL 352052612
Phone: (205) 253-2738
Fax: (907) 885-2264
Type: Mailing
1020 TUSCALOOSA AVE SW
BIRMINGHAM, AL 35211
Phone: (205) 788-6330
Type: Location
1056 E RAINES RD
MEMPHIS, TN 381166337
Phone: (901) 300-5777
Fax: (901) 422-6092
Type: Location
1395 NW 167TH ST
MIAMI GARDENS, FL 331695710
Phone: (901) 300-5777
Fax: (901) 422-6092
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 4 Open Payments records for all available years, with a total value of $326.
Total Amount is formed as General ($326) + Research ($0) + Ownership ($0) = $326.
Last reported payment date: 2024-02-22 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($188).
Total Amount
$326
General + Research + Ownership
Payments
4
Total payment records
General Amount
$326
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-02-22
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| GlaxoSmithKline, LLC. | $188 |
| Novo Nordisk Inc | $111 |
| Gilead Sciences, Inc. | $27 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2020-06-30
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20090721000201 | I | Internal Medicine | AL | TBD |
| I20200630001785 | I | Internal Medicine | TN | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 35211)
Loading plans...
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.