KENNETH LEE EDWARDS (D.P.M.) – Podiatrist, NPI 1114066065

KENNETH LEE EDWARDS (D.P.M.) is a healthcare provider. based in Shaker heights, Ohio. specializing in PODIATRY. They hold the professional credentials D.P.M.. They hold a License No. 36-00-2580-E (OH). The NPI Number for KENNETH LEE EDWARDS (D.P.M.) is 1114066065

Main info

Male
Sole Proprietor
37 Years Of Experience
Accepts Medicare Assignment
Name
KENNETH LEE EDWARDS (D.P.M.)
NPI
1114066065
Phone
(216) 752-0727
Address
3461 WARRENSVILLE CENTER ROAD
Enumeration Date
6 February 2007
Last Update Date
9 January 2026

Doctor Profile

Medical School Name
KENT STATE UNIVERSITY COLLEGE OF PODIATRIC MEDICINE
Secondary Phone
-
Graduation Year
1989 (37 years ago)
PAC ID
1557537271
Professional Enrollment ID
I20111230000379
Address ID
OH441225227SH3461XRDXX405
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness85
Years active:19State licenses:1Digital endpointsOther names

953 PODIATRY in OH

Provider Addresses for KENNETH LEE EDWARDS (D.P.M.)

  • 3461 WARRENSVILLE CENTER ROAD

    303

    SHAKER HEIGHTS, OH 441225227

    Phone: (216) 752-0727

    Type: Mailing

  • 3461 WARRENSVILLE CENTER RD STE 303

    SHAKER HEIGHTS, OH 441225227

    Phone: (216) 752-0727

    Fax: (216) 752-0727

    Type: Mailing

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: 2011-12-30

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
I20111230000379IPodiatryOHTBD

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
11721Removal of fingernails or toenails, 6 or more nails4611$0
View full utilization report →

Insurance plans in this area (ZIP 44122)

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Reviews

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Frequently asked questions

Is KENNETH LEE EDWARDS (D.P.M.) listed with a National Provider Identifier?
Yes — KENNETH LEE EDWARDS (D.P.M.) has NPI 1114066065 on file in the registry.
Is there an active status for KENNETH LEE EDWARDS (D.P.M.)?
For scheduling context, KENNETH LEE EDWARDS (D.P.M.) is shown as active in the registry.
What area of care is associated with KENNETH LEE EDWARDS (D.P.M.)?
KENNETH LEE EDWARDS (D.P.M.)'s record emphasizes Podiatrist. Clinical services aligned with this taxonomy classification.
What locale is associated with KENNETH LEE EDWARDS (D.P.M.)?
Directory geography for KENNETH LEE EDWARDS (D.P.M.) centers on Shaker Heights, Ohio.
Can I trust this NPI listing for KENNETH LEE EDWARDS (D.P.M.)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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