DR. ELIAS IV CHEDIAK (M.D.) – Psychiatry Physician, NPI 1528060878

DR. ELIAS IV CHEDIAK (M.D.) is a healthcare provider. based in Lawrence, Kansas. specializing in PSYCHIATRY. They hold the professional credentials M.D.. They hold a License No. 14762 (KS). The NPI Number for DR. ELIAS IV CHEDIAK (M.D.) is 1528060878

Main info

Male
61 Years Of Experience
Accepts Medicare Assignment
Name
DR. ELIAS IV CHEDIAK (M.D.)
NPI
1528060878
Phone
(785) 841-7430
Address
601 MISSOURI ST
Enumeration Date
1 June 2005
Deactivation Date
20 March 2006
Reactivation Date
27 March 2006
Last Update Date
14 January 2014

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7858417430
Graduation Year
1965 (61 years ago)
PAC ID
5799731253
Professional Enrollment ID
I20050328000752
Address ID
KS660442361LA601XXSTXX301
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:21State licenses:1Digital endpointsOther names

249 PSYCHIATRY in KS

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Provider Addresses for DR. ELIAS IV CHEDIAK (M.D.)

  • 601, Missouri Street, Old West Lawrence, Lawrence, Douglas County, Kansas, 66044, United States

    STE 1

    LAWRENCE, KS 660442361

    Phone: (785) 841-7430

    Fax: (785) 841-6411

    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)

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: 2005-03-28

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
I20050328000752IPsychiatryKSTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes33486$0
View full utilization report →

Insurance plans in this area (ZIP 66044)

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Provider's Procedures

DR. ELIAS IV CHEDIAK (M.D.) performs procedures in PSYCHIATRY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PSYCHIATRYKS90792Psychiatric diagnostic evaluation with medical services2121

Reviews

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Frequently asked questions

What identifier follows DR. ELIAS IV CHEDIAK (M.D.) across health systems?
The NPI 1528060878 uniquely identifies DR. ELIAS IV CHEDIAK (M.D.) in U.S. healthcare data.
Does the public listing show DR. ELIAS IV CHEDIAK (M.D.) as active?
DR. ELIAS IV CHEDIAK (M.D.)'s NPI record reflects an active status in NPPES.
What type of care does DR. ELIAS IV CHEDIAK (M.D.) provide?
DR. ELIAS IV CHEDIAK (M.D.)'s profile centers on Psychiatry Physician. Clinical services aligned with this taxonomy classification.
What city is tied to DR. ELIAS IV CHEDIAK (M.D.)?
The directory associates DR. ELIAS IV CHEDIAK (M.D.) with Lawrence, Kansas. Check all listed addresses for suites or satellite offices.
Why is information missing for DR. ELIAS IV CHEDIAK (M.D.)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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