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KENNY ALEJANDRO ROBLES GONZALEZ DDS
NPI 1205353109
Dentist - General Practice in Berwyn, IL

Active since August 23, 2017PECOS Enrolled
3253 S HARLEM AVE, SUITE 1C, BERWYN, IL 60402(708) 788-4444 Get Directions Write a Review

NPPES record last updated: May 22, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 22, 2025, Aug 23, 2017 (2 updates tracked since 2017).

About Kenny Alejandro Robles Gonzalez Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KENNY ALEJANDRO ROBLES GONZALEZ DDS (NPI 1205353109) is an individual general practice provider in Berwyn, Illinois, licensed in Illinois (019031362) and active in the NPI registry since August 2017. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1205353109
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameKENNY ALEJANDRO ROBLES GONZALEZCredential: DDS
Location Address3253 S HARLEM AVE, SUITE 1CBerwyn, IL 60402
Mailing Address3253 S Harlem Ave, Suite 1cBerwyn, IL 60402 · (323) 637-2601
Phone(708) 788-4444
Sole ProprietorYes
Enumeration DateAugust 23, 2017
Last NPPES UpdateMay 22, 20252 updates tracked since enumeration
✔ NPI 1205353109 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in IL · 019031362
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Also ListedDentistTaxonomy 122300000X · License 019031362 (IL)
3253 S HARLEM AVE, Berwyn, IL 60402
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kenny Alejandro Robles Gonzalez Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60402 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$94.06 typical visit price
range $60.08 – $183.39
Typical copayment $23.51 (range $15.02 – $45.84)
Most-billed visit code 99203
Established Patient
$74.80 typical visit price
range $18.97 – $148.12
Typical copayment $18.70 (range $4.74 – $37.03)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. DAVID H WHITNEY MD
Dermatology (Procedural Dermatology)
3253 S HARLEM AVE, SUITE 1A
BERWYN, IL 60402
Cook County (262) 898-4400
MS. LIDIA S POMAVILLE PA-C
Physician Assistant
3253 S HARLEM AVE, SUITE 1A
BERWYN, IL 60402
Cook County (262) 898-4400
FOREFRONT DERMATOLOGY, S.C.
Dermatology
3253 S HARLEM AVE, SUITE 1A
BERWYN, IL 60402
Cook County (708) 788-3885
BERWYN SURGICAL CENTER LLC
Clinic/Center (Ambulatory Surgical)
3253 S HARLEM AVE, STE. 1B
BERWYN, IL 60402
Cook County (708) 788-3880

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kenny Robles Gonzalez's NPI number?

The NPI number for Kenny Robles Gonzalez is 1205353109. It was assigned to this individual provider in the NPPES registry on August 23, 2017.

Where is Kenny Robles Gonzalez located?

Kenny Robles Gonzalez practices at 3253 S Harlem Ave Suite 1C, Berwyn, IL 60402. The listed phone number is (708) 788-4444.

What is Kenny Robles Gonzalez's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Kenny Robles Gonzalez enrolled in Medicare?

Yes. Kenny Robles Gonzalez is registered in the Medicare PECOS enrollment system.

What insurance does Kenny Robles Gonzalez accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Anthem Blue Cross and Blue Shield and BEST Life and 10 other insurers list Kenny Robles Gonzalez as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kenny Robles Gonzalez was last updated on May 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.