DYMPNA M KELLY (MD) – Transplant Surgery Physician, NPI 1558471862

DYMPNA M KELLY (MD) is a healthcare provider. based in Burr ridge, Illinois. specializing in Transplant Surgery Physician. They hold the professional credentials MD. They hold a License No. 036142636 (IL). The NPI Number for DYMPNA M KELLY (MD) is 1558471862

Main info

Female
43 Years Of Experience
Accepts Medicare Assignment
Name
DYMPNA M KELLY (MD)
NPI
1558471862
Phone
(773) 702-1061
Address
150 HARVESTER DR STE 300
Enumeration Date
30 August 2006
Last Update Date
6 February 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7737021000
Graduation Year
1983 (43 years ago)
PAC ID
4082687702
Group Practice PAC ID
7618880766
Professional Enrollment ID
I20181116001012
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience66
Completeness75
Years active:19State licenses:2Digital endpointsOther names

Provider Addresses for DYMPNA M KELLY (MD)

  • 150 HARVESTER DR STE 300

    BURR RIDGE, IL 605275965

    Phone: (773) 702-1061

    Type: Mailing

  • 5841 S MARYLAND AVE # MC5026

    CHICAGO, IL 606371443

    Phone: (773) 702-1061

    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: 2018-11-16

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20181116001012IGeneral SurgeryILTBD

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 60527)

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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: 7618880766View full group profile
NameSpecialtyState
Endocrinology, Internal MedicineIL
N E U R O S U R G E R YIL
Nurse PractitionerIL
-IL
Gastroenterology, Internal MedicineCT
Internal MedicineIL
Internal MedicineIL
-IL
Interventional Cardiology, Internal Medicine, Cardiovascular Disease (Cardiology)IL
-CA

Reviews

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Frequently asked questions

Can I use this page to confirm DYMPNA M KELLY (MD)'s NPI?
Yes. DYMPNA M KELLY (MD) is listed with NPI 1558471862 in the public NPI dataset.
Does the file indicate DYMPNA M KELLY (MD) is practicing under active NPI?
Directory data currently reports DYMPNA M KELLY (MD) as active.
What healthcare role does DYMPNA M KELLY (MD) hold?
Scheduling teams often label DYMPNA M KELLY (MD) under Transplant Surgery Physician. Clinical services aligned with this taxonomy classification.
Does DYMPNA M KELLY (MD) list a practice location?
Patients near Burr Ridge, Illinois may find DYMPNA M KELLY (MD) in results; validate coverage separately.
Is the information about DYMPNA M KELLY (MD) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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