DR. KENNETH W DAWES (M.D.) – Dermatology Physician, NPI 1497758627

DR. KENNETH W DAWES (M.D.) is a healthcare provider. based in Indianapolis, Indiana. specializing in DERMATOLOGY. They hold the professional credentials M.D.. They hold a License No. 01038446A (IN). The NPI Number for DR. KENNETH W DAWES (M.D.) is 1497758627

Main info

Male
37 Years Of Experience
Accepts Medicare Assignment
Name
DR. KENNETH W DAWES (M.D.)
NPI
1497758627
Phone
(317) 516-5000
Address
7910 N SHADELAND AVE
Enumeration Date
23 May 2005
Last Update Date
5 April 2021

Doctor Profile

Medical School Name
INDIANA UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
3175165000
Graduation Year
1989 (37 years ago)
PAC ID
1355243304
Group Practice PAC ID
8820990872
Professional Enrollment ID
I20040121001123
Address ID
IN460113460AN1601XBLVD401

Contacts

Secure Messaging
kdawes@directaddress.net
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:21State licenses:1Other namesUpdated within 12 months

247 DERMATOLOGY in IN

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Provider Addresses for DR. KENNETH W DAWES (M.D.)

  • North Shadeland Avenue, Indianapolis, Marion, Indiana, 46226, United States of America

    INDIANAPOLIS, IN 462502041

    Phone: (317) 516-5000

    Fax: (317) 516-5146

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 263 Open Payments records for all available years, with a total value of $12,497.

Total Amount is formed as General ($11,868) + Research ($629) + Ownership ($0) = $12,497.

Last reported payment date: 2024-12-20 • Largest payer in this snapshot: PFIZER INC. ($7,983).

Total Amount

$12,497

General + Research + Ownership

Payments

263

Total payment records

General Amount

$11,868

General payments

Research Amount

$629

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-20

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: 2004-01-21

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
I20040121001123IDermatologyINTBD

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
17003Destruction of precancer skin growth, 2-14 growths3,047614$0
J3245Injection, tildrakizumab, 1 mg1,70013$0
99214Established patient office or other outpatient visit, 30-39 minutes1,5951,183$0
99213Established patient office or other outpatient visit, 20-29 minutes1,5851,264$0
17000Destruction of precancer skin growth, 1 growth1,156876$0
View full utilization report →

Insurance plans in this area (ZIP 46250)

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Provider's Procedures

DR. KENNETH W DAWES (M.D.) performs procedures in DERMATOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
DERMATOLOGYIN88304Pathology examination of tissue using a microscope, moderately low complexity3430

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: 8820990872View full group profile
NameSpecialtyState
Physician AssistantIN
D E R M A T O L O G YIN
D E R M A T O L O G YIN
Physician AssistantIN
D E R M A T O L O G YIN
Physician AssistantIN
D E R M A T O L O G YIN
Physician AssistantIL
Physician AssistantIN
Physician AssistantCA

Reviews

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Frequently asked questions

How is DR. KENNETH W DAWES (M.D.) identified in CMS data?
CMS-hosted NPPES data lists DR. KENNETH W DAWES (M.D.) with NPI 1497758627.
Does CMS list DR. KENNETH W DAWES (M.D.) as active?
Yes — DR. KENNETH W DAWES (M.D.) is active in the NPI listing used on this page.
What is DR. KENNETH W DAWES (M.D.)'s primary classification?
Dermatology Physician is the headline specialty for DR. KENNETH W DAWES (M.D.) here. Clinical services aligned with this taxonomy classification.
What address line appears for DR. KENNETH W DAWES (M.D.)?
DR. KENNETH W DAWES (M.D.)'s geographic hint is Indianapolis, Indiana in our summary view.
Why does DR. KENNETH W DAWES (M.D.) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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