KRISTEN A KELLY (MD) – Hospitalist Physician, NPI 1710516711
Hospitalist Physician
Main info
Contacts
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for KRISTEN A KELLY (MD)
180 HARVESTER DR STE 110
BURR RIDGE, IL 605276686
Phone: (773) 702-1150
Type: Mailing
5841 S MARYLAND AVE # MC6054
CHICAGO, IL 606371443
Phone: (773) 702-6176
Type: Location
4220 W 95TH ST
OAK LAWN, IL 604532793
Phone: (708) 684-5341
Fax: (708) 423-1899
Type: Mailing
3533 N MARSHFIELD AVE
CHICAGO, IL 606571224
Phone: (773) 706-9310
Type: Mailing
2160 S 1ST AVE
MAYWOOD, IL 601533328
Phone: (888) 584-7888
Type: Location
4440 W 95th St
Oak Lawn, IL 604532600
Phone: (708) 684-4393
Type: Location
29373 NETWORK PL
CHICAGO, IL 606731293
Phone: (847) 390-5900
Type: Mailing
2160 S 1st Ave
Maywood, IL 601533328
Phone: (888) 584-7888
Type: Location
4220 W 95th St
Oak Lawn, IL 604532793
Phone: (708) 684-5341
Fax: (708) 423-1899
Type: Location
5841 S Maryland Ave # Mc6054
Chicago, IL 606371443
Phone: (773) 702-6176
Type: Location
4440 W 95TH ST
OAK LAWN, IL 604532600
Phone: (708) 684-4393
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: 2024-07-17
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 |
|---|---|---|---|---|
| I20240717000729 | I | Pediatric Medicine | IL | 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 60527)
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