KELLEY J. LONDON (M.D.) – Obstetrics & Gynecology Physician, NPI 1164574141

KELLEY J. LONDON (M.D.) is a healthcare provider. based in Lake forest, Illinois. specializing in OBSTETRICS/GYNECOLOGY. They hold the professional credentials M.D.. They hold a License No. 036090495 (IL). The NPI Number for KELLEY J. LONDON (M.D.) is 1164574141

Main info

Female
34 Years Of Experience
Name
KELLEY J. LONDON (M.D.)
NPI
1164574141
Phone
(847) 234-9110
Address
900 N Westmoreland Rd
Enumeration Date
18 January 2007
Last Update Date
11 June 2024

Doctor Profile

Medical School Name
CHICAGO COLLEGE OF MEDICINE AND SURGERY
Secondary Phone
8472323447
Graduation Year
1992 (34 years ago)
PAC ID
0941232748
Group Practice PAC ID
8325195506
Professional Enrollment ID
I20100618000798
Address ID
IL600442234LA917XXDRXX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,923 OBSTETRICS/GYNECOLOGY in IL

Provider Addresses for KELLEY J. LONDON (M.D.)

  • 900 N Westmoreland Rd

    Suite #207

    Lake Forest, IL 600451674

    Phone: (847) 234-9110

    Fax: (847) 234-0900

    Type: Location

  • 1170 E Belvidere Rd Ste 203

    Grayslake, IL 600302076

    Phone: (847) 278-4059

    Type: Location

  • 1475 E Belvidere Rd Ste 316

    Grayslake, IL 600302016

    Phone: (847) 278-4059

    Type: Location

  • 900, North Westmoreland Road, Deerpath, Lake Forest, Lake County, Illinois, 60045, United States

    SUITE #207

    LAKE FOREST, IL 600451674

    Phone: (847) 234-9110

    Fax: (847) 234-0900

    Type: Mailing

  • 917 SHERWOOD DR STE 200

    LAKE BLUFF, IL 600442234

    Phone: (847) 232-3447

    Fax: (224) 678-0001

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 44 Open Payments records for all available years, with a total value of $1,148.

Total Amount is formed as General ($1,148) + Research ($0) + Ownership ($0) = $1,148.

Last reported payment date: 2024-10-04 • Largest payer in this snapshot: Astellas Pharma US Inc ($260).

Total Amount

$1,148

General + Research + Ownership

Payments

44

Total payment records

General Amount

$1,148

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-04

Latest reported date

Top Companies

Largest payers in this snapshot

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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: 2010-06-18

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
I20100618000798IObstetrics/GynecologyILTBD

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
81002Urinalysis, manual test103103$0
G0101Cervical or vaginal cancer screening; pelvic and clinical breast examination7979$0
Q0091Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory3232$0
99213Established patient office or other outpatient visit, 20-29 minutes1512$0
99204New patient office or other outpatient visit, 45-59 minutes1212$0
View full utilization report →

Insurance plans in this area (ZIP 60045)

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Provider's Procedures

KELLEY J. LONDON (M.D.) performs procedures in OBSTETRICS/GYNECOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
OBSTETRICS/GYNECOLOGYIL81002Urinalysis, manual test112101

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: 8325195506View full group profile
NameSpecialtyState
Nurse PractitionerIL
O B S T E T R I C S/ G Y N E C O L O G YIL
O B S T E T R I C S/ G Y N E C O L O G YIL
O B S T E T R I C S/ G Y N E C O L O G YIL
Nurse PractitionerIL
Certified Nurse Midwife (Cnm)IL
O B S T E T R I C S/ G Y N E C O L O G YIL
O B S T E T R I C S/ G Y N E C O L O G YIL
Certified Nurse Midwife (Cnm)IL
O B S T E T R I C S/ G Y N E C O L O G YIL

Reviews

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Frequently asked questions

What NPI should I save for KELLEY J. LONDON (M.D.)?
Save NPI 1164574141 if you need a stable reference for KELLEY J. LONDON (M.D.).
Is KELLEY J. LONDON (M.D.)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Does KELLEY J. LONDON (M.D.) list a primary specialty?
If you are matching referrals, note Obstetrics & Gynecology Physician for KELLEY J. LONDON (M.D.). Clinical services aligned with this taxonomy classification.
What location shows for KELLEY J. LONDON (M.D.)?
We surface Lake Forest, Illinois for KELLEY J. LONDON (M.D.) based on available NPPES addresses.
What if Lake Forest, Illinois seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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