RYAN CHAR KELM – Dermatology Physician, NPI 1043772627
Dermatology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
393 DERMATOLOGY in WA
Provider Addresses for RYAN CHAR KELM
264, West Harrison Street, Printer's Row, Loop, South Loop, Chicago, Cook County, Illinois, 60605, United States
CHICAGO, IL 606123844
Phone: (312) 942-2195
Type: Mailing
1334 N WHITMAN LN STE 200
LIBERTY LAKE, WA 990196034
Phone: (509) 413-0008
Type: Mailing
510 S COWLEY ST
SPOKANE, WA 992021332
Phone: (509) 252-1299
Type: Location
50 Staniford St # 250
Boston, MA 021142517
Phone: (617) 724-6960
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 11 Open Payments records for all available years, with a total value of $725.
Total Amount is formed as General ($725) + Research ($0) + Ownership ($0) = $725.
Last reported payment date: 2024-04-12 • Largest payer in this snapshot: ABBVIE INC. ($263).
Total Amount
$725
General + Research + Ownership
Payments
11
Total payment records
General Amount
$725
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-04-12
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $263 |
| Galderma Laboratories, L.P. | $152 |
| Janssen Biotech, Inc. | $130 |
| Stemline Therapeutics Inc. | $122 |
| PFIZER INC. | $39 |
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: 2025-07-16
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 4 Medicare enrollment records; no due dates published yet.
Enrollment records
4
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 |
|---|---|---|---|---|
| I20240812003256 | I | Dermatology | WA | TBD |
| I20250623002168 | I | Physical Medicine And Rehabilitation | TX | TBD |
| I20250625003604 | I | Plastic And Reconstructive Surgery | IL | TBD |
| I20250716002634 | I | Physical Medicine And Rehabilitation | OK | 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 60612)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | WA | |
| Physical Medicine And Rehabilitation | WA | |
| Physician Assistant | ID | |
| Internal Medicine, Dermatology | WA | |
| D E R M A T O L O G Y | FL | |
| Physician Assistant | WA | |
| D E R M A T O L O G Y | WA |
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.