DR. KENNETH M SOLIS (MD) – Emergency Medicine Physician, NPI 1982695367

DR. KENNETH M SOLIS (MD) is a healthcare provider. based in Fond du lac, Wisconsin. specializing in Emergency Medicine Physician. They hold the professional credentials MD. They hold a License No. 27903 (WI). The NPI Number for DR. KENNETH M SOLIS (MD) is 1982695367

Main info

Male
Name
DR. KENNETH M SOLIS (MD)
NPI
1982695367
Phone
(920) 926-8340
Address
420 E DIVISION ST
Enumeration Date
3 November 2005
Last Update Date
13 February 2017
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for DR. KENNETH M SOLIS (MD)

  • Fond-du-Lac, Northern Saskatchewan Administration District, Saskatchewan, Canada

    FOND DU LAC, WI 549354560

    Phone: (920) 926-8340

    Fax: (920) 926-8370

    Type: Mailing

  • Ripon Medical Center, 845, Parkside Street, Ripon, Fond du Lac County, Wisconsin, 54971, United States

    RIPON, WI 549718505

    Phone: (920) 748-3101

    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: 2011-07-18

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
I20110718000560IInternal MedicineWITBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 54935)

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Reviews

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Frequently asked questions

What number should I use to identify DR. KENNETH M SOLIS (MD) for billing?
Administrative and clinical systems typically use NPI 1982695367 for DR. KENNETH M SOLIS (MD).
Should I treat DR. KENNETH M SOLIS (MD) as an active provider?
Patients and plans typically see DR. KENNETH M SOLIS (MD) as active in the national extract.
What services align with DR. KENNETH M SOLIS (MD)'s listing?
DR. KENNETH M SOLIS (MD)'s public classification highlights Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
Which community is linked to DR. KENNETH M SOLIS (MD)?
DR. KENNETH M SOLIS (MD) shows a connection to Fond Du Lac, Wisconsin in registry-derived data.
Who maintains DR. KENNETH M SOLIS (MD)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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