THOMAS O KENFIELD-KELLEHER DO
NPI 1215552807
Student in an Organized Health Care Education/Training Program in Indianapolis, IN
NPI Status: Active since June 10, 2020
Contact Information
355 W 16TH ST
INDIANAPOLIS, IN
ZIP 46202
Phone: (317) 963-7408
- Individual
- Male
- Student in an Organized Health Care Educ...
- PECOS Enrolled
About THOMAS KENFIELD-KELLEHER
This page provides the complete NPI Profile along with additional information for Thomas Kenfield-kelleher, a primary care provider established in Indianapolis, Indiana with a medical specialization in Student In An Organized Health Care Education/training Program. The healthcare provider is registered in the NPI registry with number 1215552807 assigned on June 2020. The practitioner's primary taxonomy code is 390200000X. The provider is registered as an individual and his NPI record was last updated 4 years ago.
- NPI
- 1215552807
- Provider Name
- THOMAS O KENFIELD-KELLEHER DO
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 355 W 16TH ST INDIANAPOLIS, IN 46202
- Location Phone
- (317) 963-7408
- Mailing Address
- 555 31ST ST DOWNERS GROVE, IL 60515
- Is Sole Proprietor?
- No
- Enumeration Date
- 06-10-2020
- Last Update Date
- 11-07-2021
- Code Navigator
A primary care provider (PCP) like Thomas Kenfield-kelleher sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
Location Map
Secondary Locations
- 281 Gatesby Rd
Riverside, IL 60546
(708) 466-6461
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Student in an Organized Health Care Education/Training Program
- Taxonomy Code
- 390200000X
- Type
- Student, Health Care
- Taxonomy Description
- An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| NA | OTHER (01) | NONE |
Medicare Participation & PECOS Enrollment Status
Thomas Kenfield-kelleher is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Reviews for THOMAS O KENFIELD-KELLEHER DO
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 2 | 1 | 5 | 5 | 5 | 2 | 8 | 0 | 7 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 2 | 5 | 10 | 5 | 4 | 8 | 0 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 2 + 5 + 1 + 0 + 5 + 4 + 8 + 0 + 24 = 53 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 53 = 7 | 7 | ||||||||
The NPI number 1215552807 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1407859028 | DR. ROBERT M WORTH M.D. Individual | Neurological Surgery | 355 W 16TH ST SUITE 5100 INDIANAPOLIS, IN 46202 (317) 396-1300 |
| 1386629962 | CYNTHIA SINN RN, MSN, NP-C Individual | Nurse Practitioner | 355 W 16TH ST SUITE 5100 INDIANAPOLIS, IN 46202 (317) 396-1300 |
| 1619910312 | ROBERTA CRAFT P.A. Individual | Physician Assistant | 355 W 16TH ST SUITE 5100 INDIANAPOLIS, IN 46202 (317) 396-1300 |
| 1093726283 | DENISE WHITFIELD RN Individual | Registered Nurse | 355 W 16TH ST SUITE 5100 INDIANAPOLIS, IN 46202 (317) 396-1300 |
| 1881605087 | CINDY WILLIAMS RT Individual | Radiologic Technologist | 355 W 16TH ST SUITE 5100 INDIANAPOLIS, IN 46202 (317) 396-1300 |
| 1770594954 | KATHY REDELMAN RN Individual | Registered Nurse | 355 W 16TH ST SUITE 5100 INDIANAPOLIS, IN 46202 (317) 396-1300 |
| 1861403024 | EMBER CRISWELL RN Individual | Registered Nurse | 355 W 16TH ST SUITE 5100 INDIANAPOLIS, IN 46202 (317) 396-1300 |
| 1679733166 | INDIANAPOLIS NEUROSURGICAL GROUP Organization | Physical Medicine & Rehabilitation | 355 W 16TH ST SUITE 5100 INDIANAPOLIS, IN 46202 (317) 396-1300 |
| 1932349305 | ELIZABETH J MROZ LPN Individual | Licensed Practical Nurse | 355 W 16TH ST SUITE 5100 INDIANAPOLIS, IN 46202 (317) 396-1300 |
| 1417249988 | REBECCA KAY SMITH NP Individual | Nurse Practitioner | 355 W 16TH ST SUITE 5100 INDIANAPOLIS, IN 46202 (317) 396-1300 |
| 1881940385 | JENNIFER LEIGH PENCEK RN Individual | Registered Nurse | 355 W 16TH ST SUITE 5100 INDIANAPOLIS, IN 46202 (317) 396-1300 |
| 1891041398 | ERIN LEIGH PALMER RN Individual | Registered Nurse | 355 W 16TH ST SUITE 5100 INDIANAPOLIS, IN 46202 (317) 396-1300 |
| 1518213016 | HEATHER CERO RN Individual | Registered Nurse | 355 W 16TH ST SUITE 5100 INDIANAPOLIS, IN 46202 (317) 396-1300 |
| 1336490630 | SANDRA MCCOURT Individual | Student in an Organized Health Care Education/Training Program | 355 W 16TH ST SUITE 2800 INDIANAPOLIS, IN 46202 (317) 963-7308 |
| 1912259359 | CHERYL M BEDWELL RN Individual | Registered Nurse | 355 W 16TH ST SUITE 5100 INDIANAPOLIS, IN 46202 (317) 396-1300 |
| 1598100208 | KATHERINE MICHELLE MARTIN LPN Individual | Licensed Practical Nurse | 355 W 16TH ST SUITE 5100 INDIANAPOLIS, IN 46202 (317) 396-1300 |
| 1871934422 | PATRICK DONOVAN QUINN Individual | Student in an Organized Health Care Education/Training Program | 355 W 16TH ST IU HEALTH NEUROSCIENCE CENTER, GOODMAN HALL, SUITE 2800 INDIANAPOLIS, IN 46202 (317) 963-7308 |
| 1184688186 | ANGELA T CARBONE M.D. Individual | Physical Medicine & Rehabilitation | 355 W 16TH ST SUITE 4300 INDIANAPOLIS, IN 46202 (317) 963-7077 |
| 1780006551 | ANASTASIA HENSLEY RN Individual | Registered Nurse | 355 W 16TH ST SUITE 5100 INDIANAPOLIS, IN 46202 (317) 396-1300 |
| 1699759753 | PETER GIANARIS MD Individual | Neurological Surgery | 355 W 16TH ST STE 5100 INDIANAPOLIS, IN 46202 (317) 396-1300 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1215552807, enumerated in the NPI registry as an "individual" on June 10, 2020
The provider is located at 355 W 16th St Indianapolis, In 46202 and the phone number is (317) 963-7408
The provider's speciality is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
This NPI record was last updated on June 10, 2020. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.