ANDREA KELLEY CYR (DO) – Physical Medicine & Rehabilitation Physician, NPI 1366806119
Physical Medicine & Rehabilitation Physician
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Profile Insights
NPPES metrics only — not quality of care.
185 SPORTS MEDICINE in IN
Provider Addresses for ANDREA KELLEY CYR (DO)
250 N SHADELAND AVE
INDIANAPOLIS, IN 462194959
Phone:
Type: Mailing
201 Pennsylvania Pkwy
Carmel, IN 462802301
Phone: (317) 948-0200
Fax: (317) 963-7075
Type: Location
2200 Randallia Dr
Fort Wayne, IN 468054638
Phone: (260) 425-6780
Fax: (260) 373-9925
Type: Location
8701, West Watertown Plank Road, Wauwatosa, Milwaukee County, Wisconsin, 53226, United States
MILWAUKEE, WI 532263548
Phone: (414) 955-4578
Type: Mailing
1260 CITY CENTER DRIVE
CARMEL, IN 460323810
Phone: (214) 970-6817
Fax: (317) 218-8990
Type: Location
839 W ROOSEVELT RD
CHICAGO, IL 606081530
Phone: (312) 355-4404
Type: Mailing
839 W ROOSEVELT RD STE 102
CHICAGO, IL 606081530
Phone: (312) 413-7337
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $24.
Total Amount is formed as General ($24) + Research ($0) + Ownership ($0) = $24.
Last reported payment date: 2024-11-15 • Largest payer in this snapshot: DENTSPLY IH AB ($24).
Total Amount
$24
General + Research + Ownership
Payments
1
Total payment records
General Amount
$24
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-15
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| DENTSPLY IH AB | $24 |
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: 2023-06-14
PECOS data refreshed: 2026-06-15
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20230301002341 | I | Physical Medicine And Rehabilitation | IN | TBD |
| I20230614000530 | I | Osteopathic Manipulative Medicine | WI | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 46219)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Pediatric Medicine | NC | |
| P A T H O L O G Y | GA | |
| Internal Medicine, Critical Care (Intensivists), Hospitalist | IN | |
| P A T H O L O G Y | MN | |
| Nurse Practitioner | IN | |
| Nurse Practitioner | IN | |
| Nurse Practitioner | IN | |
| Internal Medicine | FL | |
| Family Practice | IN | |
| N E U R O S U R G E R Y | PA |
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