KEITH S KENDALL (DPM) – Podiatrist, NPI 1164490009

KEITH S KENDALL (DPM) is a healthcare provider. based in Bangor, Maine. specializing in PODIATRY. They hold the professional credentials DPM. They hold a License No. POD 1057 (ME). The NPI Number for KEITH S KENDALL (DPM) is 1164490009

Main info

Male
26 Years Of Experience
Name
KEITH S KENDALL (DPM)
NPI
1164490009
Phone
(207) 947-2220
Address
700 MOUNT HOPE AVE STE 620
Enumeration Date
8 March 2006
Last Update Date
26 April 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2078177400
Graduation Year
2000 (26 years ago)
PAC ID
2668444258
Group Practice PAC ID
1850324542
Professional Enrollment ID
I20060110000062
Address ID
ME044681252IN23XXXWAYX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience68
Completeness75
Years active:20State licenses:2Digital endpointsOther names

69 PODIATRY in ME

Provider Addresses for KEITH S KENDALL (DPM)

  • 700 MOUNT HOPE AVE STE 620

    BANGOR, ME 044015671

    Phone: (207) 947-2220

    Fax: (207) 947-4073

    Type: Location

  • 700 Mount Hope Ave Ste 620

    Bangor, ME 04401

    Phone: (207) 947-2220

    Fax: (207) 947-4073

    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: 2006-01-10

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
I20060110000062IPodiatryMETBD

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
11720Removal of fingernails or toenails, 1-5 nails22580$0
11721Removal of fingernails or toenails, 6 or more nails21068$0
99213Established patient office or other outpatient visit, 20-29 minutes206132$0
99203New patient office or other outpatient visit, 30-44 minutes6363$0
97597Removal of tissue from wound, 20.0 sq cm or less3813$0
View full utilization report →

Insurance plans in this area (ZIP 04401)

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Provider's Procedures

KEITH S KENDALL (DPM) performs procedures in PODIATRY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PODIATRYME11720Removal of tissue from 1 to 5 finger or toe nails296124
PODIATRYME73630X-ray of foot, minimum of 3 views9865

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: 1850324542View full group profile
NameSpecialtyState
Nurse PractitionerFL
Nurse PractitionerME
Clinical Social WorkerME
Family PracticeME
Nurse PractitionerME
Nurse PractitionerME

Reviews

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Frequently asked questions

What identifier follows KEITH S KENDALL (DPM) across health systems?
The NPI 1164490009 uniquely identifies KEITH S KENDALL (DPM) in U.S. healthcare data.
Should I treat KEITH S KENDALL (DPM) as an active provider?
Patients and plans typically see KEITH S KENDALL (DPM) as active in the national extract.
Which specialty label fits KEITH S KENDALL (DPM)?
NPPES ties KEITH S KENDALL (DPM) to Podiatrist in the taxonomy section. Clinical services aligned with this taxonomy classification.
Is KEITH S KENDALL (DPM) tied to Bangor, Maine?
If you are local to Bangor, Maine, KEITH S KENDALL (DPM) may be relevant to your search.
Why is information missing for KEITH S KENDALL (DPM)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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