THOMAS O KENFIELD-KELLEHER (DO) – Neurology Physician, NPI 1215552807

THOMAS O KENFIELD-KELLEHER (DO) is a healthcare provider. based in Downers grove, Illinois. specializing in NEUROLOGY. They hold the professional credentials DO. They hold a License No. 02008317A (IN). The NPI Number for THOMAS O KENFIELD-KELLEHER (DO) is 1215552807

Main info

Male
5 Years Of Experience
Accepts Medicare Assignment
Name
THOMAS O KENFIELD-KELLEHER (DO)
NPI
1215552807
Phone
(708) 466-6461
Address
555 31ST ST
Enumeration Date
10 June 2020
Last Update Date
14 July 2025

Doctor Profile

Medical School Name
MIDWESTERN UNIVERSITY, CHICAGO COLLEGE OF OSTEOPATHIC MED
Secondary Phone
8884843258
Graduation Year
2021 (5 years ago)
PAC ID
3779983812
Group Practice PAC ID
9638617913
Professional Enrollment ID
I20250721000152
Address ID
IN462022207IN355XXSTXX400
Telehealth
Yes

Contacts

Secure Messaging
TKENFIELDKELLEHER@DIRECT.IUHEALTH.ORG
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience39
Completeness95
Years active:5State licenses:1Other names

1,188 NEUROLOGY in IL

Provider Addresses for THOMAS O KENFIELD-KELLEHER (DO)

  • 555 31ST ST

    DOWNERS GROVE, IL 605151235

    Phone: (708) 466-6461

    Type: Location

  • 281 Gatesby Rd

    Riverside, IL 605461613

    Phone: (708) 466-6461

    Type: Location

  • 355 W 16TH ST

    INDIANAPOLIS, IN 462022207

    Phone: (317) 963-7408

    Type: Location

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: 2025-07-21

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
I20250721000152INeurologyINTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 60515)

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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: 9638617913View full group profile
NameSpecialtyState
Pediatric MedicineNC
U R O L O G YIN
Diagnostic Radiology, Interventional RadiologyNY
Nurse PractitionerIN
P A T H O L O G YIN
O T O L A R Y N G O L O G YIN
E N D O C R I N O L O G YIN
Family Practice, Sports MedicineIN
Gastroenterology, Internal MedicineIN
Orthopedic SurgeryMO

Reviews

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Frequently asked questions

How is THOMAS O KENFIELD-KELLEHER (DO) identified in CMS data?
CMS-hosted NPPES data lists THOMAS O KENFIELD-KELLEHER (DO) with NPI 1215552807.
Is THOMAS O KENFIELD-KELLEHER (DO) listed as active for patients and plans?
The listing shows THOMAS O KENFIELD-KELLEHER (DO) as active in the NPI system.
What is THOMAS O KENFIELD-KELLEHER (DO)'s specialty?
The listing groups THOMAS O KENFIELD-KELLEHER (DO) with Neurology Physician. Clinical services aligned with this taxonomy classification.
Does THOMAS O KENFIELD-KELLEHER (DO) list a practice location?
Patients near Downers Grove, Illinois may find THOMAS O KENFIELD-KELLEHER (DO) in results; validate coverage separately.
Is the information about THOMAS O KENFIELD-KELLEHER (DO) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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