KEDAR ARVIND KAKODKAR (MD) – Otolaryngology Physician, NPI 1073724076

KEDAR ARVIND KAKODKAR (MD) is a healthcare provider. based in Saint john, Indiana. specializing in OTOLARYNGOLOGY. They hold the professional credentials MD. They hold a License No. 125.053464 (IL). The NPI Number for KEDAR ARVIND KAKODKAR (MD) is 1073724076

Main info

Male
Sole Proprietor
25 Years Of Experience
Accepts Medicare Assignment
Name
KEDAR ARVIND KAKODKAR (MD)
NPI
1073724076
Phone
(219) 703-9393
Address
9660 Wicker Ave Fl 2
Enumeration Date
24 May 2007
Last Update Date
19 August 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
70874930701415
Graduation Year
2001 (25 years ago)
PAC ID
4082840293
Group Practice PAC ID
2264476118
Professional Enrollment ID
I20131118001324
Address ID
IL604023483BE3340XAVEX402
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience71
Completeness75
Years active:19State licenses:2Digital endpointsOther names

242 OTOLARYNGOLOGY in IN

Provider Addresses for KEDAR ARVIND KAKODKAR (MD)

  • 9660 Wicker Ave Fl 2

    Saint John, IN 463739487

    Phone: (219) 703-9393

    Fax: (219) 703-6763

    Type: Location

  • 300 Riverside Dr

    Suite 2600

    Bourbonnais, IL 609144996

    Phone: (815) 928-5098

    Fax: (815) 936-3850

    Type: Location

  • 4320 Fir St Unit 410

    East Chicago, IN 463123078

    Phone: (219) 392-7665

    Fax: (219) 392-7993

    Type: Location

  • 100, 45th Street, Munster, Bloom Township, Lake County, Indiana, 46321, United States

    MUNSTER, IN 463213958

    Phone: (219) 703-9393

    Fax: (219) 703-6763

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 22 Open Payments records for all available years, with a total value of $1,683.

Total Amount is formed as General ($1,683) + Research ($0) + Ownership ($0) = $1,683.

Last reported payment date: 2024-12-11 • Largest payer in this snapshot: AERIN MEDICAL INC. ($566).

Total Amount

$1,683

General + Research + Ownership

Payments

22

Total payment records

General Amount

$1,683

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-11

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2014-10-06

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2023-11-30 (925 days ago).

Enrollment records

2

Earliest due date

2023-11-30

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
I20131118001324IOtolaryngologyIL2023-11-30
I20141006000267IOtolaryngologyINTBD

What to do next

  • Verify current status on the CMS Revalidation Lookup Tool immediately.
  • Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
  • Overdue revalidation can lead to deactivation of Medicare billing privileges.

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
99214Established patient office or other outpatient visit, 30-39 minutes332220$0
99204New patient office or other outpatient visit, 45-59 minutes183183$0
69210Removal of impacted ear wax9076$0
31575Diagnostic exam of voice box using a flexible endoscope7365$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes2727$0
View full utilization report →

Insurance plans in this area (ZIP 46373)

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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: 2264476118View full group profile
NameSpecialtyState
Nurse PractitionerIL
Qualified AudiologistIL
Diagnostic RadiologyIL
Otolaryngology, Plastic And Reconstructive SurgeryTX
O T O L A R Y N G O L O G YIL
O T O L A R Y N G O L O G YIL
Qualified AudiologistIL
Qualified AudiologistIL
Qualified AudiologistIL
O T O L A R Y N G O L O G YIL

Reviews

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Frequently asked questions

What number should I use to identify KEDAR ARVIND KAKODKAR (MD) for billing?
Administrative and clinical systems typically use NPI 1073724076 for KEDAR ARVIND KAKODKAR (MD).
Quick check: is KEDAR ARVIND KAKODKAR (MD) active?
Public NPPES data shows KEDAR ARVIND KAKODKAR (MD) with an active NPI status right now.
What type of care does KEDAR ARVIND KAKODKAR (MD) provide?
KEDAR ARVIND KAKODKAR (MD)'s profile centers on Otolaryngology Physician. Clinical services aligned with this taxonomy classification.
What geographic area is tied to KEDAR ARVIND KAKODKAR (MD)?
KEDAR ARVIND KAKODKAR (MD) is associated with Saint John, Indiana in the same public data insurers reference.
Can I export KEDAR ARVIND KAKODKAR (MD)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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