DR. KENNETH C REDLIN (M.D.) – Family Medicine Physician, NPI 1720072291
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,063 FAMILY PRACTICE in WI
Provider Addresses for DR. KENNETH C REDLIN (M.D.)
P.O. BOX 275
BROOKFIELD, WI 530080275
Phone: (262) 879-0477
Fax: (262) 404-1064
Type: Mailing
803 W Layton Ave
Milwaukee, WI 532212426
Phone: (414) 939-4411
Fax: (414) 939-4466
Type: Location
803, West Layton Avenue, Mitchell West, Milwaukee, Milwaukee County, Wisconsin, 53221, United States
MILWAUKEE, WI 53221
Phone: (262) 879-0477
Fax: (262) 404-1064
Type: Location
PO BOX 275
BROOKFIELD, WI 530080275
Phone: (262) 879-0477
Fax: (262) 404-1064
Type: Mailing
803 W LAYTON AVE
MILWAUKEE, WI 532212426
Phone: (262) 879-0477
Fax: (262) 404-1064
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $53.
Total Amount is formed as General ($53) + Research ($0) + Ownership ($0) = $53.
Last reported payment date: 2024-05-29 • Largest payer in this snapshot: Novo Nordisk Inc ($19).
Total Amount
$53
General + Research + Ownership
Payments
3
Total payment records
General Amount
$53
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-05-29
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Novo Nordisk Inc | $19 |
| Lundbeck LLC | $18 |
| ABBVIE INC. | $17 |
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: 2017-12-21
PECOS data refreshed: 2026-06-15
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 |
|---|---|---|---|---|
| I20171221002717 | I | Family Practice | WI | 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 53008)
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