DR. KELLEY DALE KENNEDY (M.D.) – Cardiovascular Disease Physician, NPI 1235148339

DR. KELLEY DALE KENNEDY (M.D.) is a healthcare provider. based in Normal, Illinois. specializing in Cardiovascular Disease Physician. They hold the professional credentials M.D.. They hold a License No. 036079835 (IL). The NPI Number for DR. KELLEY DALE KENNEDY (M.D.) is 1235148339

Main info

Male
41 Years Of Experience
Name
DR. KELLEY DALE KENNEDY (M.D.)
NPI
1235148339
Phone
(309) 862-3000
Address
1300 Franklin Ave
Enumeration Date
7 August 2006
Last Update Date
19 January 2023

Doctor Profile

Medical School Name
UNIVERSITY OF NEBRASKA COLLEGE OF MEDICINE
Secondary Phone
4803424200
Graduation Year
1985 (41 years ago)
PAC ID
6103802467
Group Practice PAC ID
7012829930
Professional Enrollment ID
I20140402002386

Contacts

Secure Messaging
kkennedy388648@ehrdirect.mayoclinicmsg.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience80
Completeness85
Years active:19State licenses:3Other namesUpdated within 12 months

Provider Addresses for DR. KELLEY DALE KENNEDY (M.D.)

  • 1300 Franklin Ave

    Suite 310

    Normal, IL 617613592

    Phone: (309) 862-3000

    Fax: (309) 862-3444

    Type: Location

  • 200 1st St SW

    Rochester, MN 559055452

    Phone: (507) 284-2511

    Type: Location

  • Mayo Clinic Hospital Scottsdale Campus, 13400, East Shea Boulevard, Scottsdale, Maricopa County, Arizona, 85259, United States

    SCOTTSDALE, AZ 852595452

    Phone: (480) 301-8000

    Fax: (309) 862-3444

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $18.

Total Amount is formed as General ($18) + Research ($0) + Ownership ($0) = $18.

Last reported payment date: 2024-07-22 • Largest payer in this snapshot: ABIOMED ($18).

Total Amount

$18

General + Research + Ownership

Payments

1

Total payment records

General Amount

$18

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-07-22

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
ABIOMED$18
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.

No Medicare enrollment or revalidation data available for this provider in our database.

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 61761)

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Provider's Procedures

DR. KELLEY DALE KENNEDY (M.D.) performs procedures in Cardiovascular Disease Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
CARDIOVASCULAR DISEASE (CARDIOLOGY)IL93010Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report25011994

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: 7012829930View full group profile

Reviews

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Frequently asked questions

Can I use this page to confirm DR. KELLEY DALE KENNEDY (M.D.)'s NPI?
Yes. DR. KELLEY DALE KENNEDY (M.D.) is listed with NPI 1235148339 in the public NPI dataset.
Can I rely on DR. KELLEY DALE KENNEDY (M.D.) being an active provider?
As of the registry snapshot, DR. KELLEY DALE KENNEDY (M.D.) is marked active.
What is DR. KELLEY DALE KENNEDY (M.D.)'s specialty?
The listing groups DR. KELLEY DALE KENNEDY (M.D.) with Cardiovascular Disease Physician. Clinical services aligned with this taxonomy classification.
Does DR. KELLEY DALE KENNEDY (M.D.) list a practice location?
Patients near Normal, Illinois may find DR. KELLEY DALE KENNEDY (M.D.) in results; validate coverage separately.
Why does DR. KELLEY DALE KENNEDY (M.D.) have multiple addresses?
4 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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