ABDULRAZAK KEDO (MD) – Pediatrics Physician, NPI 1194784603

ABDULRAZAK KEDO (MD) is a healthcare provider. based in Rushville, Indiana. specializing in Pediatrics Physician. They hold the professional credentials MD. They hold a License No. 01052945A (IN). The NPI Number for ABDULRAZAK KEDO (MD) is 1194784603

Main info

Male
39 Years Of Experience
Name
ABDULRAZAK KEDO (MD)
NPI
1194784603
Phone
(765) 932-4111
Address
1300 N MAIN ST
Enumeration Date
22 March 2006
Last Update Date
17 February 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3174368712
Graduation Year
1987 (39 years ago)
PAC ID
8527090190
Group Practice PAC ID
1052500584
Professional Enrollment ID
I20050902000479

Contacts

Secure Messaging
AbdulrazakKedo@rushmemorial.cernerdirect.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

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Provider Addresses for ABDULRAZAK KEDO (MD)

  • Rush Memorial Hospital, 1300, North Main Street, Rushville, Rush County, Indiana, 46173, United States

    RUSHVILLE, IN 461731198

    Phone: (765) 932-4111

    Fax: (765) 932-7505

    Type: Mailing

  • 1339, North Cherry Street, Rushville, Rush County, Indiana, 46173, United States

    RUSHVILLE, IN 461731116

    Phone: (765) 932-7000

    Fax: (765) 932-7001

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $29.

Total Amount is formed as General ($29) + Research ($0) + Ownership ($0) = $29.

Last reported payment date: 2024-03-19 • Largest payer in this snapshot: Cranial Technologies, Inc ($16).

Total Amount

$29

General + Research + Ownership

Payments

2

Total payment records

General Amount

$29

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-03-19

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: 2005-09-02

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
I20050902000479IPediatric MedicineINTBD

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 46173)

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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: 1052500584View full group profile
NameSpecialtyState
Certified Clinical Nurse Specialist (Cns)IN

Reviews

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Frequently asked questions

What NPI should I save for ABDULRAZAK KEDO (MD)?
Save NPI 1194784603 if you need a stable reference for ABDULRAZAK KEDO (MD).
Does this profile mean ABDULRAZAK KEDO (MD) is currently active?
Yes — ABDULRAZAK KEDO (MD) appears active in the national provider directory.
Can you summarize ABDULRAZAK KEDO (MD)'s specialty in plain language?
Clinically, the directory lists ABDULRAZAK KEDO (MD) with Pediatrics Physician. Clinical services aligned with this taxonomy classification.
Where is ABDULRAZAK KEDO (MD)'s primary listing?
We display Rushville, Indiana because that is what the record indicates for ABDULRAZAK KEDO (MD).
What if Rushville, Indiana seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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