ANA L KEPPKE (M.D.) – Diagnostic Radiology Physician, NPI 1114177342
Diagnostic Radiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,121 DIAGNOSTIC RADIOLOGY in IL
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Provider Addresses for ANA L KEPPKE (M.D.)
Advocate Illinois Masonic Hospital, 836, West Wellington Avenue, Lake View, Lakeview, Chicago, Lake View Township, Cook County, Illinois, 60657, United States
CHICAGO, IL 606575147
Phone: (773) 296-7820
Type: Location
4118 N KEDVALE AVE APT E
CHICAGO, IL 606412279
Phone: (773) 685-1568
Type: Mailing
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: 2022-09-20
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 |
|---|---|---|---|---|
| I20120706000119 | I | Diagnostic Radiology | OH | TBD |
| I20220920001917 | I | Diagnostic Radiology | IN | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 77067 | Screening mammography | 919 | 919 | $0 |
| 77063 | Screening 3d breast mammography | 917 | 917 | $0 |
| 77065 | Diagnostic mammography of 1 breast | 203 | 192 | $0 |
| 76642 | Limited ultrasound scan of 1 breast | 198 | 196 | $0 |
| G0279 | Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) | 193 | 192 | $0 |
Insurance plans in this area (ZIP 60657)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology | OH | |
| Diagnostic Radiology | OH | |
| Physician Assistant | OH | |
| Diagnostic Radiology | OH | |
| Physician Assistant | OH | |
| Diagnostic Radiology | OH | |
| Diagnostic Radiology | OH | |
| Diagnostic Radiology | OH | |
| Diagnostic Radiology | MI | |
| Diagnostic Radiology | MN |
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