KEDAR ARVIND KAKODKAR (MD) – Otolaryngology Physician, NPI 1073724076
Otolaryngology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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
| Company | Amount |
|---|---|
| AERIN MEDICAL INC. | $566 |
| Integra LifeSciences Corporation | $541 |
| Inspire Medical Systems, Inc. | $299 |
| Optinose US, Inc. | $121 |
| Smith+Nephew, Inc. | $56 |
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20131118001324 | I | Otolaryngology | IL | 2023-11-30 |
| I20141006000267 | I | Otolaryngology | IN | TBD |
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.
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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 332 | 220 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 183 | 183 | $0 |
| 69210 | Removal of impacted ear wax | 90 | 76 | $0 |
| 31575 | Diagnostic exam of voice box using a flexible endoscope | 73 | 65 | $0 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 27 | 27 | $0 |
Insurance plans in this area (ZIP 46373)
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Group practice members
- 1
- 2
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | IL | |
| Qualified Audiologist | IL | |
| Diagnostic Radiology | IL | |
| Otolaryngology, Plastic And Reconstructive Surgery | TX | |
| O T O L A R Y N G O L O G Y | IL | |
| O T O L A R Y N G O L O G Y | IL | |
| Qualified Audiologist | IL | |
| Qualified Audiologist | IL | |
| Qualified Audiologist | IL | |
| O T O L A R Y N G O L O G Y | IL |
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