DR. NICHOLAS DAVID KENNEDY (M.D.) – Vascular & Interventional Radiology Physician, NPI 1447416235
Vascular & Interventional Radiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
342 INTERVENTIONAL RADIOLOGY in IL
Provider Addresses for DR. NICHOLAS DAVID KENNEDY (M.D.)
2160 S 1st Ave
Maywood, IL 601533328
Phone: (708) 216-1084
Type: Location
67-1125 MAMALAHOA HWY
KAMUELA, HI 967438496
Phone: (808) 881-4880
Type: Mailing
Hillcrest Circle, Orland Park, Orland Township, Cook County, Illinois, 60467, United States
ORLAND PARK, IL 604675564
Phone: (708) 989-2249
Type: Mailing
2160, South 1st Avenue, Maywood, Proviso Township, Cook County, Illinois, 60153, United States
MAYWOOD, IL 601533328
Phone: (708) 216-1084
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $102.
Total Amount is formed as General ($102) + Research ($0) + Ownership ($0) = $102.
Last reported payment date: 2023-11-08 • Largest payer in this snapshot: Becton, Dickinson and Company ($85).
Total Amount
$102
General + Research + Ownership
Payments
3
Total payment records
General Amount
$102
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-11-08
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Becton, Dickinson and Company | $85 |
| Siemens Medical Solutions USA, Inc. | $17 |
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: 2023-05-16
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20230516002209 | I | Interventional Radiology | HI | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 71045 | X-ray of chest, 1 view | 477 | 435 | $0 |
| 77067 | Screening mammography | 181 | 181 | $0 |
| 77063 | Screening 3d breast mammography | 179 | 179 | $0 |
| 70450 | Ct scan head or brain without contrast | 163 | 161 | $0 |
| 71046 | X-ray of chest, 2 views | 154 | 154 | $0 |
Insurance plans in this area (ZIP 60153)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | HI | |
| Diagnostic Radiology | MD | |
| Internal Medicine | HI | |
| H O S P I T A L I S T | KY | |
| Nurse Practitioner | HI | |
| Interventional Radiology, Neurosurgery | MD | |
| Family Practice | NY | |
| Internal Medicine | HI | |
| Interventional Cardiology, Internal Medicine | MT | |
| Geriatric Medicine, Internal Medicine | HI |
Reviews
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