DR. KENNETH DONALD ELMAN (MD) – Family Medicine Physician, NPI 1528075751

DR. KENNETH DONALD ELMAN (MD) is a healthcare provider. based in Agoura hills, California. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. G72087 (CA). The NPI Number for DR. KENNETH DONALD ELMAN (MD) is 1528075751

Main info

Male
37 Years Of Experience
Accepts Medicare Assignment
Name
DR. KENNETH DONALD ELMAN (MD)
NPI
1528075751
Phone
(818) 707-7789
Address
29525 CANWOOD ST
Enumeration Date
1 August 2006
Last Update Date
22 April 2015

Doctor Profile

Medical School Name
WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
-
Graduation Year
1989 (37 years ago)
PAC ID
8426237520
Professional Enrollment ID
I20110121000104
Address ID
CA913014233Ag29525STXX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

13,194 FAMILY PRACTICE in CA

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Provider Addresses for DR. KENNETH DONALD ELMAN (MD)

  • 29525, Canwood Street, Malibu Junction, Agoura Hills, Los Angeles County, California, 91301, United States

    #305

    AGOURA HILLS, CA 913014233

    Phone: (818) 707-7789

    Fax: (818) 707-7797

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2011-01-21

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20110121000104IFamily PracticeCATBD

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.

Verify on CMS Revalidation Lookup Tool

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes166101$0
99213Established patient office or other outpatient visit, 20-29 minutes5547$0
G0438Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit1818$0
99442Telephone medical discussion with physician, 11-20 minutes1411$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit1313$0
View full utilization report →

Insurance plans in this area (ZIP 91301)

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Reviews

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Frequently asked questions

What unique ID ties claims to DR. KENNETH DONALD ELMAN (MD)?
NPI 1528075751 is assigned to DR. KENNETH DONALD ELMAN (MD) under the national enumeration system.
Is DR. KENNETH DONALD ELMAN (MD)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Does DR. KENNETH DONALD ELMAN (MD) list a primary specialty?
If you are matching referrals, note Family Medicine Physician for DR. KENNETH DONALD ELMAN (MD). Clinical services aligned with this taxonomy classification.
What location metadata exists for DR. KENNETH DONALD ELMAN (MD)?
The page summarizes Agoura Hills, California for DR. KENNETH DONALD ELMAN (MD); expand the address list for detail.
What if Agoura Hills, California seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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