DR. KELLEY ORALIVIA HOLLOWAY - MARSHALL – Foot & Ankle Surgery Podiatrist, NPI 1942593231

DR. KELLEY ORALIVIA HOLLOWAY - MARSHALL is a healthcare provider. based in Northbrook, Illinois. specializing in PODIATRY. They hold a License No. 016005544 (IL). The NPI Number for DR. KELLEY ORALIVIA HOLLOWAY - MARSHALL is 1942593231

Main info

Female
Sole Proprietor
18 Years Of Experience
Accepts Medicare Assignment
Name
DR. KELLEY ORALIVIA HOLLOWAY - MARSHALL
NPI
1942593231
Phone
(847) 504-5000
Address
PO BOX 917
Enumeration Date
19 May 2011
Last Update Date
6 July 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3174411093
Graduation Year
2008 (18 years ago)
PAC ID
6608026166
Group Practice PAC ID
0648579243
Professional Enrollment ID
I20121112000390
Address ID
IN462801222IN10935EXXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness75
Years active:15State licenses:2Digital endpointsOther names

1,038 PODIATRY in IL

Provider Addresses for DR. KELLEY ORALIVIA HOLLOWAY - MARSHALL

  • PO BOX 917

    NORTHBROOK, IL 600650917

    Phone: (847) 504-5000

    Fax: (847) 504-5015

    Type: Mailing

  • 40 SKOKIE BLVD STE 520

    NORTHBROOK, IL 600621601

    Phone: (847) 504-5000

    Fax: (847) 504-5015

    Type: Location

  • 2003 W FULTON ST STE 303

    CHICAGO, IL 606122345

    Phone: (312) 243-2223

    Fax: (312) 243-2227

    Type: Mailing

  • 40 Skokie Blvd Ste 520

    Northbrook, IL 600621601

    Phone: (847) 504-5000

    Fax: (847) 504-5015

    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: 2012-11-12

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20121019000037IPodiatryILTBD
I20121112000390IPodiatryINTBD

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
11721Removal of fingernails or toenails, 6 or more nails387201$0
99347Residence visit for established patient with straightforward medical decision making, per day, if using time, at least 15 minutes217175$0
11056Removal of noncancer thickened skin growth, 2-4 growths16176$0
11055Removal of noncancer thickened skin growth, 1 growth4130$0
11057Removal of noncancer thickened skin growth, more than 4 growths3828$0
View full utilization report →

Insurance plans in this area (ZIP 60065)

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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: 0648579243View full group profile
NameSpecialtyState
P O D I A T R YIN
P O D I A T R YIN

Reviews

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Frequently asked questions

What is the standard ID for DR. KELLEY ORALIVIA HOLLOWAY - MARSHALL in the U.S.?
In the U.S., DR. KELLEY ORALIVIA HOLLOWAY - MARSHALL is identified by NPI 1942593231.
Is DR. KELLEY ORALIVIA HOLLOWAY - MARSHALL currently accepting referrals based on NPI status?
Registry metadata lists DR. KELLEY ORALIVIA HOLLOWAY - MARSHALL as active.
What type of care does DR. KELLEY ORALIVIA HOLLOWAY - MARSHALL provide?
DR. KELLEY ORALIVIA HOLLOWAY - MARSHALL's profile centers on Foot & Ankle Surgery Podiatrist. Clinical services aligned with this taxonomy classification.
Is DR. KELLEY ORALIVIA HOLLOWAY - MARSHALL tied to Northbrook, Illinois?
If you are local to Northbrook, Illinois, DR. KELLEY ORALIVIA HOLLOWAY - MARSHALL may be relevant to your search.
Who maintains DR. KELLEY ORALIVIA HOLLOWAY - MARSHALL's record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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