DR. KENNETH WINSTON HOLMES (M.D.) – Specialist, NPI 1114982477

DR. KENNETH WINSTON HOLMES (M.D.) is a healthcare provider. based in Hazel crest, Illinois. specializing in NEUROLOGY. They hold the professional credentials M.D.. They hold a License No. 036-078410 (IL). The NPI Number for DR. KENNETH WINSTON HOLMES (M.D.) is 1114982477

Main info

Male
42 Years Of Experience
Accepts Medicare Assignment
Name
DR. KENNETH WINSTON HOLMES (M.D.)
NPI
1114982477
Phone
(708) 799-6799
Address
3330 W 177TH ST
Enumeration Date
19 April 2006
Last Update Date
16 December 2021

Doctor Profile

Medical School Name
UNIVERSITY OF CHICAGO, PRITZKER SCHOOL OF MEDICINE
Secondary Phone
7087996799
Graduation Year
1984 (42 years ago)
PAC ID
8527029438
Group Practice PAC ID
8628039534
Professional Enrollment ID
I20080205000285
Address ID
IL604292186HA3330XSTXX407

Contacts

FHIR Endpoint
https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/
Secure Messaging
kholmes277501@direct.myadvocateaurora.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

1,191 NEUROLOGY in IL

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Provider Addresses for DR. KENNETH WINSTON HOLMES (M.D.)

  • 3330, West 177th Street, Hazel Crest, Bremen Township, Cook County, Illinois, 60429, United States

    SUITE 3C

    HAZEL CREST, IL 604292001

    Phone: (708) 799-6799

    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)

CMS reports 2 Open Payments records for all available years, with a total value of $42.

Total Amount is formed as General ($42) + Research ($0) + Ownership ($0) = $42.

Last reported payment date: 2024-06-21 • Largest payer in this snapshot: Biogen, Inc. ($27).

Total Amount

$42

General + Research + Ownership

Payments

2

Total payment records

General Amount

$42

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-06-21

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2008-02-05

PECOS data refreshed: 2026-06-15

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
I20080205000285INeurologyILTBD

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
95886Needle measurement of electrical activity in arm or leg muscles, complete study15984$0
99215Established patient office or other outpatient visit, 40-54 minutes7761$0
99205New patient office or other outpatient visit, 60-74 minutes5454$0
95910Nerve conduction, 7-8 studies2727$0
95911Nerve conduction, 9-10 studies2121$0
View full utilization report →

Insurance plans in this area (ZIP 60429)

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Provider's Procedures

DR. KENNETH WINSTON HOLMES (M.D.) performs procedures in NEUROLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
NEUROLOGYIL95910Nerve transmission studies, 7-8 studies1616

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: 8628039534View full group profile
NameSpecialtyState
N E U R O L O G YIL
Internal Medicine, NeurologyIL

Reviews

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Frequently asked questions

What is the registry number for DR. KENNETH WINSTON HOLMES (M.D.)?
The registry entry for DR. KENNETH WINSTON HOLMES (M.D.) shows NPI 1114982477.
Should I treat DR. KENNETH WINSTON HOLMES (M.D.) as an active provider?
Patients and plans typically see DR. KENNETH WINSTON HOLMES (M.D.) as active in the national extract.
What does the directory say DR. KENNETH WINSTON HOLMES (M.D.) does?
Insurance directories may phrase it differently, but here DR. KENNETH WINSTON HOLMES (M.D.) maps to Other Service Providers. Clinical services aligned with this taxonomy classification.
What city is tied to DR. KENNETH WINSTON HOLMES (M.D.)?
The directory associates DR. KENNETH WINSTON HOLMES (M.D.) with Hazel Crest, Illinois. Check all listed addresses for suites or satellite offices.
Who maintains DR. KENNETH WINSTON HOLMES (M.D.)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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