DR. KENNETH U EKECHUKWU (M.D.) – Vascular & Interventional Radiology Physician, NPI 1255331096

DR. KENNETH U EKECHUKWU (M.D.) is a healthcare provider. based in Forest park, Illinois. specializing in INTERVENTIONAL RADIOLOGY, DIAGNOSTIC RADIOLOGY, INTERNAL MEDICINE. They hold the professional credentials M.D.. They hold a License No. 036-083256 (IL). The NPI Number for DR. KENNETH U EKECHUKWU (M.D.) is 1255331096

Main info

Male
Sole Proprietor
42 Years Of Experience
Accepts Medicare Assignment
Name
DR. KENNETH U EKECHUKWU (M.D.)
NPI
1255331096
Phone
(708) 657-4540
Address
1225 HARLEM AVE
Enumeration Date
22 July 2005
Last Update Date
14 April 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3123555258
Graduation Year
1984 (42 years ago)
PAC ID
7911043112
Group Practice PAC ID
3072422716
Professional Enrollment ID
I20091001000074
Address ID
IL606127232CH1740XSTXX413
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience74
Completeness75
Years active:20State licenses:1Digital endpointsOther names

342 INTERVENTIONAL RADIOLOGY in IL

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Provider Addresses for DR. KENNETH U EKECHUKWU (M.D.)

  • 1225, Harlem Avenue, Harlem Park, Baltimore, Maryland, 21217, United States

    FOREST PARK, IL 601302407

    Phone: (708) 657-4540

    Fax: (708) 657-4535

    Type: Mailing

  • 1740 W Taylor St

    Chicago, IL 606127232

    Phone: (866) 600-2273

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 11 Open Payments records for all available years, with a total value of $937.

Total Amount is formed as General ($937) + Research ($0) + Ownership ($0) = $937.

Last reported payment date: 2023-07-21 • Largest payer in this snapshot: Medtronic, Inc. ($937).

Total Amount

$937

General + Research + Ownership

Payments

11

Total payment records

General Amount

$937

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-07-21

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Medtronic, Inc.$937
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: 2009-10-01

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
I20091001000074IInterventional RadiologyILTBD

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
71045X-ray of chest, 1 view7148$0
71046X-ray of chest, 2 views1817$0
View full utilization report →

Insurance plans in this area (ZIP 60130)

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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: 3072422716View full group profile
NameSpecialtyState
Internal MedicineIL
O B S T E T R I C S/ G Y N E C O L O G YIL
Gastroenterology, Internal MedicineIL
-IL
-IL
Nurse PractitionerIN
O P H T H A L M O L O G YIL
-IL
Hand Surgery, Orthopedic SurgeryIL
Pathology, Internal MedicineIL

Reviews

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Frequently asked questions

What is the standard ID for DR. KENNETH U EKECHUKWU (M.D.) in the U.S.?
In the U.S., DR. KENNETH U EKECHUKWU (M.D.) is identified by NPI 1255331096.
Should I treat DR. KENNETH U EKECHUKWU (M.D.) as an active provider?
Patients and plans typically see DR. KENNETH U EKECHUKWU (M.D.) as active in the national extract.
What type of care does DR. KENNETH U EKECHUKWU (M.D.) provide?
DR. KENNETH U EKECHUKWU (M.D.)'s profile centers on Vascular & Interventional Radiology Physician. Clinical services aligned with this taxonomy classification.
Is DR. KENNETH U EKECHUKWU (M.D.) tied to Forest Park, Illinois?
If you are local to Forest Park, Illinois, DR. KENNETH U EKECHUKWU (M.D.) may be relevant to your search.
Why is information missing for DR. KENNETH U EKECHUKWU (M.D.)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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