KENDALL C NEWSOME (MD) – Diagnostic Ultrasound Physician, NPI 1083721435

KENDALL C NEWSOME (MD) is a healthcare provider. based in Urbana, Illinois. specializing in Diagnostic Ultrasound Physician. They hold the professional credentials MD. They hold a License No. 036101939 (IL). The NPI Number for KENDALL C NEWSOME (MD) is 1083721435

Main info

Male
42 Years Of Experience
Accepts Medicare Assignment
Name
KENDALL C NEWSOME (MD)
NPI
1083721435
Phone
(217) 383-6792
Address
611 W. PARK ST.
Enumeration Date
23 August 2006
Last Update Date
19 May 2014

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2172835531
Graduation Year
1984 (42 years ago)
PAC ID
9133275688
Group Practice PAC ID
3577456037
Professional Enrollment ID
I20090924000302
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

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Provider Addresses for KENDALL C NEWSOME (MD)

  • Carle Foundation Hospital, 611, West Park Street, Urbana, Champaign County, Illinois, 61801, United States

    BWPC

    URBANA, IL 618012500

    Phone: (217) 383-6792

    Fax: (217) 383-4752

    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: 2009-09-24

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
I20090924000302IDiagnostic RadiologyILTBD

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
71045X-ray of chest, 1 view4847$0
74018X-ray of abdomen, 1 view1313$0
71046X-ray of chest, 2 views1111$0
View full utilization report →

Insurance plans in this area (ZIP 61801)

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Provider's Procedures

KENDALL C NEWSOME (MD) performs procedures in Diagnostic Ultrasound Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
DIAGNOSTIC RADIOLOGYIL71010X-ray of chest, 1 view, front604507
DIAGNOSTIC RADIOLOGYIL73110X-ray of wrist, minimum of 3 views1111
DIAGNOSTIC RADIOLOGYIL73140X-ray of fingers, minimum of 2 views2118
DIAGNOSTIC RADIOLOGYIL73562X-ray of knee, 3 views4038
DIAGNOSTIC RADIOLOGYIL73630X-ray of foot, minimum of 3 views10686
DIAGNOSTIC RADIOLOGYIL74177CT scan of abdomen and pelvis with contrast7067
DIAGNOSTIC RADIOLOGYIL76830Ultrasound pelvis through vagina1515

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3577456037View full group profile
NameSpecialtyState
P O D I A T R YPA
Hospitalist, Internal MedicineIL
Hematology/Oncology, Internal MedicineIL
Nurse PractitionerIL
Cardiovascular Disease (Cardiology), Internal MedicineWI
Internal Medicine, Cardiovascular Disease (Cardiology)IL
Family Practice, Emergency MedicineIL
General SurgeryIL
-IL
Family PracticeIL

Reviews

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Frequently asked questions

What number should I use to identify KENDALL C NEWSOME (MD) for billing?
Administrative and clinical systems typically use NPI 1083721435 for KENDALL C NEWSOME (MD).
Should I treat KENDALL C NEWSOME (MD) as an active provider?
Patients and plans typically see KENDALL C NEWSOME (MD) as active in the national extract.
What services align with KENDALL C NEWSOME (MD)'s listing?
KENDALL C NEWSOME (MD)'s public classification highlights Diagnostic Ultrasound Physician. Clinical services aligned with this taxonomy classification.
What geographic area is tied to KENDALL C NEWSOME (MD)?
KENDALL C NEWSOME (MD) is associated with Urbana, Illinois in the same public data insurers reference.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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