DR. KENNETH D WILLIAMS (MD) – Diagnostic Radiology Physician, NPI 1790783249
Diagnostic Radiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,121 DIAGNOSTIC RADIOLOGY in IL
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Provider Addresses for DR. KENNETH D WILLIAMS (MD)
2153 - Moirs Mill Rd After Amin St, Moirs Mill Road, Paper Mill Lake, Mill Cove, Bedford, Halifax Regional Municipality, Halifax County, Nova Scotia, B4A 4A2, Canada
BEDFORD PARK, IL 604992153
Phone: (800) 354-1088
Fax: (314) 631-4491
Type: Mailing
Holy Cross Hospital, 2701, West 68th Street, Chicago Lawn, Chicago, Lake Township, Cook County, Illinois, 60629, United States
CHICAGO, IL 606291813
Phone: (773) 884-9000
Fax: (314) 631-4491
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: 2004-05-22
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 |
|---|---|---|---|---|
| I20040522000061 | I | Diagnostic Radiology | IL | 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 |
|---|---|---|---|---|
| 71046 | X-ray of chest, 2 views | 452 | 450 | $0 |
| 72100 | X-ray of lower and sacral spine, 2-3 views | 121 | 121 | $0 |
| 73562 | X-ray of knee, 3 views | 87 | 75 | $0 |
| 73030 | X-ray of shoulder, minimum of 2 views | 83 | 72 | $0 |
| 73502 | X-ray of hip, 2-3 views | 82 | 81 | $0 |
Insurance plans in this area (ZIP 60499)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology | NM | |
| Cardiovascular Disease (Cardiology) | NJ | |
| - | NC | |
| Diagnostic Radiology | AZ | |
| Diagnostic Radiology | TX | |
| Physician Assistant | AZ | |
| Diagnostic Radiology | CA | |
| Diagnostic Radiology | CA | |
| - | NV | |
| Diagnostic Radiology | CA |
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