Kelly Kennell, M.D.
NPI 1669790697 · Diagnostic Radiology Physician · Peoria, IL
Enrolled with Medicare as Practitioner - Diagnostic Radiology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kelly Kennell, M.D. is a Diagnostic Radiology Physician provider in Peoria, IL (NPI 1669790697).
Provider details
- NPI number
- 1669790697
- Entity type
- Individual
- Primary specialty
- Diagnostic Radiology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- License
- 125057388 (IL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
16 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
3,397 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Screening Mammography77067 | 982 | $34 |
| Screening 3d Breast Mammography77063 | 967 | $27 |
| Dxa Bone Density Measurement of Hip, Pelvis, Spine77080 | 333 | $9 |
| Diagnostic Digital Breast Tomosynthesis, Unilateral Or Bilateral (list Separately in Addition to 77065 Or 77066)G0279 | 322 | $27 |
| Diagnostic Mammography of Both Breasts77066 | 197 | $45 |
| Diagnostic Mammography of 1 Breast77065 |
Practice location
Mailing address
Registry dates
- Enumerated
- 2010-05-14
- Last updated
- 2023-10-23
- Certified
- 2023-10-23
Frequently asked questions
- What is Kelly Kennell's NPI number?
- Kelly Kennell's National Provider Identifier (NPI) is 1669790697, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kelly Kennell's specialty?
- Kelly Kennell is listed in the NPPES registry with a primary specialty of Diagnostic Radiology Physician (Allopathic & Osteopathic Physicians).
- Where is Kelly Kennell located?
- Kelly Kennell's practice location on file with NPPES is 530 Ne Glen Oak Ave, Peoria, IL 61637-0002.
- What is Kelly Kennell's phone number?
- The practice phone number listed in the NPPES registry for Kelly Kennell is (309) 655-2000.
- Does Kelly Kennell accept Medicare?
- Kelly Kennell is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Kelly Kennell's NPI active?
- Yes — Kelly Kennell's NPI (1669790697) is active in the NPPES registry as of the last update on 2023-10-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.