AJAY KAILAS – Dermatology Physician, NPI 1053809715

AJAY KAILAS is a healthcare provider. based in Manitowoc, Wisconsin. specializing in DERMATOLOGY. They hold a License No. 036.158642 (IL). The NPI Number for AJAY KAILAS is 1053809715

Main info

Male
8 Years Of Experience
Accepts Medicare Assignment
Name
AJAY KAILAS
NPI
1053809715
Phone
(920) 663-9008
Address
801 YORK ST
Enumeration Date
28 April 2018
Last Update Date
20 February 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8478433376
Graduation Year
2018 (8 years ago)
PAC ID
9032468145
Group Practice PAC ID
3779471701
Professional Enrollment ID
I20220708000247
Address ID
IL600912844WI401XXAVEX300

Contacts

Secure Messaging
AKailas@brodskyderm.emadirect.md
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness95
Years active:8State licenses:1Other names

703 DERMATOLOGY in IL

Provider Addresses for AJAY KAILAS

  • 801 YORK ST

    MANITOWOC, WI 542204630

    Phone: (920) 663-9008

    Fax: (920) 684-1439

    Type: Mailing

  • 401 LINDEN AVE

    WILMETTE, IL 600912844

    Phone: (847) 843-3376

    Fax: (847) 920-9188

    Type: Location

  • AMITA Health Resurrection Medical Center, 7435, West Talcott Avenue, Norwood Park, Chicago, Jefferson Township, Cook County, Illinois, 60631, United States

    CHICAGO, IL 606313707

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 88 Open Payments records for all available years, with a total value of $1,416.

Total Amount is formed as General ($1,416) + Research ($0) + Ownership ($0) = $1,416.

Last reported payment date: 2024-11-06 • Largest payer in this snapshot: Janssen Biotech, Inc. ($377).

Total Amount

$1,416

General + Research + Ownership

Payments

88

Total payment records

General Amount

$1,416

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-06

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2022-07-08

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
I20220708000247IDermatologyILTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes2217$0
17000Destruction of precancer skin growth, 1 growth1611$0
11102Biopsy of related skin growth, first growth1211$0
99203New patient office or other outpatient visit, 30-44 minutes1111$0
View full utilization report →

Insurance plans in this area (ZIP 54220)

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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: 3779471701View full group profile
NameSpecialtyState
-WI
Physician AssistantVA
-VA
D E R M A T O L O G YTX
-WI
D E R M A T O L O G YAL
D E R M A T O L O G YWI
-WI
Physician AssistantNY
D E R M A T O L O G YWA

Reviews

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Frequently asked questions

Can I cross-check AJAY KAILAS using NPI 1053809715?
NPI 1053809715 belongs to AJAY KAILAS; compare other details if you need extra assurance.
Is AJAY KAILAS shown as active in public data?
Registry records indicate AJAY KAILAS maintains an active NPI.
How would a patient describe AJAY KAILAS's focus?
For AJAY KAILAS, the primary taxonomy reads as Dermatology Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for AJAY KAILAS?
Travel planning: use Manitowoc, Wisconsin as the reference point for AJAY KAILAS, then confirm.
What does 4 location(s) imply?
4 practice locations appear in the available data.

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