DR. TODD L ENGDAHL (MD) – Emergency Medicine Physician, NPI 1356330005
Emergency Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,845 EMERGENCY MEDICINE in IL
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Provider Addresses for DR. TODD L ENGDAHL (MD)
4750, Hempstead Station Drive, Kettering, Montgomery County, Ohio, 45429, United States
KETTERING, OH 454295164
Phone: (800) 875-0136
Fax: (937) 619-4231
Type: Mailing
Heartland Regional Medical Center, 3333, West Deyoung Street, Marion, Williamson County, Illinois, 62959, United States
MARION, IL 629595884
Phone: (618) 998-7000
Fax: (618) 997-6589
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: 2005-09-14
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2023-12-31 (890 days ago).
Enrollment records
2
Earliest due date
2023-12-31
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 |
|---|---|---|---|---|
| I20050406000605 | I | Emergency Medicine | KY | 2023-12-31 |
| I20050914000733 | I | Emergency Medicine | IL | TBD |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 93010 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | 267 | 220 | $0 |
| 99285 | Emergency department visit with high level of medical decision making | 106 | 105 | $0 |
| 99284 | Emergency department visit with moderate level of medical decision making | 105 | 102 | $0 |
| 99283 | Emergency department visit with low level of medical decision making | 17 | 17 | $0 |
Insurance plans in this area (ZIP 45429)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | IL | |
| Emergency Medicine | MO | |
| Family Practice | IL | |
| Emergency Medicine | IL | |
| Family Practice | IL | |
| Emergency Medicine | IL | |
| - | IL | |
| Nurse Practitioner | FL | |
| Emergency Medicine | IL |
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