KEVIN W KLUG (MD) – Sports Medicine (Family Medicine) Physician, NPI 1124657838

KEVIN W KLUG (MD) is a healthcare provider. based in Salina, Kansas. specializing in SPORTS MEDICINE, FAMILY PRACTICE, HOSPITALIST, EMERGENCY MEDICINE. They hold the professional credentials MD. They hold a License No. 04-46144 (KS). The NPI Number for KEVIN W KLUG (MD) is 1124657838

Main info

Male
6 Years Of Experience
Accepts Medicare Assignment
Name
KEVIN W KLUG (MD)
NPI
1124657838
Phone
(785) 452-7366
Address
520 S SANTA FE AVE STE 400
Enumeration Date
4 April 2020
Last Update Date
2 March 2026

Doctor Profile

Medical School Name
UNIVERSITY OF KANSAS SCHOOL OF MED (KC/WICH/SAL)
Secondary Phone
-
Graduation Year
2020 (6 years ago)
PAC ID
0345663449
Group Practice PAC ID
0446168215
Professional Enrollment ID
I20221104000264
Address ID
KS674014189SA501XXAVEX500
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness85
Years active:6State licenses:1Digital endpointsOther names

97 SPORTS MEDICINE in KS

Provider Addresses for KEVIN W KLUG (MD)

  • 520 S SANTA FE AVE STE 400

    SALINA, KS 674014190

    Phone: (785) 452-7366

    Fax: (785) 452-7354

    Type: Mailing

  • 651 E PRESCOTT RD

    SALINA, KS 674017408

    Phone: (785) 825-7251

    Type: Mailing

  • 651 E Prescott Rd

    Salina, KS 674017408

    Phone: (785) 825-7251

    Type: Location

  • 400 S Santa Fe Ave

    Salina, KS 674014144

    Phone: (785) 452-7366

    Fax: (785) 452-7354

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2022-11-04

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
I20221104000264ISports MedicineKSTBD

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 67401)

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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: 0446168215View full group profile
NameSpecialtyState
-KS
Hospitalist, Family Practice, Emergency MedicineKS
-KS
Nurse PractitionerKS
Family Practice, Emergency MedicineKS
Internal Medicine, HospitalistKS
-KS
Pulmonary Disease, Sleep Medicine, Critical Care (Intensivists)KS
-KS
Emergency MedicineKS

Reviews

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Frequently asked questions

What is KEVIN W KLUG (MD)'s NPI number?
KEVIN W KLUG (MD)'s NPI is 1124657838 — the number used across U.S. healthcare to identify this provider.
Would KEVIN W KLUG (MD) appear as active to a payer?
You can treat KEVIN W KLUG (MD) as active for directory purposes; confirm clinical privileges separately.
What area of care is associated with KEVIN W KLUG (MD)?
KEVIN W KLUG (MD)'s record emphasizes Sports Medicine (Family Medicine) Physician. Clinical services aligned with this taxonomy classification.
Is KEVIN W KLUG (MD) associated with Salina?
Public fields place KEVIN W KLUG (MD) around Salina, Kansas. Always confirm the exact site before visiting.
What does 6 location(s) imply?
6 practice locations appear in the available data.

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