DR. KELLY LARDI (D.C.) – Sports Physician Chiropractor, NPI 1407843717

DR. KELLY LARDI (D.C.) is a healthcare provider. based in Coal city, Illinois. specializing in CHIROPRACTIC. They hold the professional credentials D.C.. They hold a License No. 038-007152 (IL). The NPI Number for DR. KELLY LARDI (D.C.) is 1407843717

Main info

Male
34 Years Of Experience
Accepts Medicare Assignment
Name
DR. KELLY LARDI (D.C.)
NPI
1407843717
Phone
(815) 634-3750
Address
495 E 1ST ST
Enumeration Date
2 October 2005
Last Update Date
6 January 2011

Doctor Profile

Medical School Name
PALMER COLLEGE CHIROPRACTIC - WEST SUNNYVALE
Secondary Phone
8156343750
Graduation Year
1992 (34 years ago)
PAC ID
5991794364
Group Practice PAC ID
1456340827
Professional Enrollment ID
I20040511000100
Address ID
IL604161633CO495XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

2,145 CHIROPRACTIC in IL

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Provider Addresses for DR. KELLY LARDI (D.C.)

  • 495, East 1st Street, Eileen, Coal City, Grundy County, Illinois, 60416, United States

    COAL CITY, IL 604161633

    Phone: (815) 634-3750

    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)

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: 2004-05-11

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
I20040511000100IChiropracticILTBD

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
98941Chiropractic manipulative treatment, 3-4 spinal regions58058$0
98940Chiropractic manipulative treatment, 1-2 spinal regions3518$0
View full utilization report →

Insurance plans in this area (ZIP 60416)

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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: 1456340827View full group profile
NameSpecialtyState
C H I R O P R A C T I CIL
C H I R O P R A C T I CIL
C H I R O P R A C T I CIL

Reviews

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Frequently asked questions

Where can patients find DR. KELLY LARDI (D.C.)'s NPI?
You can confirm DR. KELLY LARDI (D.C.) with NPI 1407843717; it appears in the national provider directory.
Is DR. KELLY LARDI (D.C.)'s NPI currently valid?
The extract we use shows DR. KELLY LARDI (D.C.) as active.
Can you summarize DR. KELLY LARDI (D.C.)'s specialty in plain language?
Clinically, the directory lists DR. KELLY LARDI (D.C.) with Sports Physician Chiropractor. Clinical services aligned with this taxonomy classification.
What location metadata exists for DR. KELLY LARDI (D.C.)?
The page summarizes Coal City, Illinois for DR. KELLY LARDI (D.C.); expand the address list for detail.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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