KENDALL A ITOKU (MD) – Urology Physician, NPI 1699870162
Urology Physician
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for KENDALL A ITOKU (MD)
6350 CLAYTON RD APT 101
SAINT LOUIS, MO 631172514
Phone: (314) 324-8658
Type: Location
224, South Woods Mill Road, Chesterfield, Saint Louis County, Missouri, 63017, United States
SUITE 510 S
CHESTERFIELD, MO 630173451
Phone: (314) 434-6130
Fax: (314) 434-1277
Type: Mailing
112, Piper Hill Drive, Saint Peters, Saint Charles County, Missouri, 63376, United States
STE 12
SAINT PETERS, MO 633761690
Phone: (636) 939-9202
Fax: (636) 939-9113
Type: Location
111 SAINT LUKES CENTER DR STE 40
CHESTERFIELD, MO 630173509
Phone: (314) 434-3433
Fax: (314) 743-1336
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $150.
Total Amount is formed as General ($150) + Research ($0) + Ownership ($0) = $150.
Last reported payment date: 2023-10-12 • Largest payer in this snapshot: GENZYME CORPORATION ($150).
Total Amount
$150
General + Research + Ownership
Payments
1
Total payment records
General Amount
$150
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-10-12
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| GENZYME CORPORATION | $150 |
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: 2010-03-29
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20100329000623 | I | Urology | MO | TBD |
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.
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 63117)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| General Surgery | MO | |
| General Surgery | MO | |
| General Surgery, Colorectal Surgery (Proctology) | MO | |
| General Surgery | MO | |
| - | MO | |
| General Surgery | MO | |
| Nurse Practitioner | MO |
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