CHARLES KERNDT (M.D.) – Anesthesiology Physician, NPI 1235118456

CHARLES KERNDT (M.D.) is a healthcare provider. based in Traverse city, Michigan. specializing in Anesthesiology Physician. They hold the professional credentials M.D.. They hold a License No. 4301071557 (MI). The NPI Number for CHARLES KERNDT (M.D.) is 1235118456

Main info

Male
46 Years Of Experience
Accepts Medicare Assignment
Name
CHARLES KERNDT (M.D.)
NPI
1235118456
Phone
(231) 935-5770
Address
4100 PARK FOREST DR
Enumeration Date
16 January 2006
Last Update Date
10 April 2015

Doctor Profile

Medical School Name
UNIVERSITY OF NEBRASKA COLLEGE OF MEDICINE
Secondary Phone
231935577010
Graduation Year
1980 (46 years ago)
PAC ID
2668418393
Group Practice PAC ID
5597750091
Professional Enrollment ID
I20100817000214
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for CHARLES KERNDT (M.D.)

  • Park Forest Drive, Brookside, Garfield Township, Grand Traverse County, Michigan, 49684, United States

    SUITE 210

    TRAVERSE CITY, MI 496847331

    Phone: (231) 935-5770

    Fax: (231) 935-0747

    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: 2010-08-17

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
I20100817000214IAnesthesiologyMITBD

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
00142Anesthesia for lens surgery2216$0
View full utilization report →

Insurance plans in this area (ZIP 49684)

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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: 5597750091View full group profile

Reviews

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Frequently asked questions

Can I cross-check CHARLES KERNDT (M.D.) using NPI 1235118456?
NPI 1235118456 belongs to CHARLES KERNDT (M.D.); compare other details if you need extra assurance.
Would CHARLES KERNDT (M.D.) appear as active to a payer?
You can treat CHARLES KERNDT (M.D.) as active for directory purposes; confirm clinical privileges separately.
What kind of doctor is CHARLES KERNDT (M.D.)?
CHARLES KERNDT (M.D.) is associated with Anesthesiology Physician in the directory — Clinical services aligned with this taxonomy classification.
Is CHARLES KERNDT (M.D.) located near Traverse City?
CHARLES KERNDT (M.D.) currently maps to Traverse City, Michigan in this extract.
When was this NPI issued?
Enumeration for CHARLES KERNDT (M.D.) is noted as January 16, 2006 where the registry provides it.

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