DR. JOHN PATRICK KENNY IV M.D.
NPI 1417218462
Anesthesiology in Evanston, IL
About Dr. John Patrick Kenny Iv M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JOHN PATRICK KENNY IV M.D. (NPI 1417218462) is an individual anesthesiology provider in Evanston, Illinois, licensed in Illinois (036143776) and active in the NPI registry since June 2012. He is enrolled in Medicare PECOS, maintains a secondary practice location in Chicago, and is a graduate of University Of Illinois College Of Med (chi/peor/rock/chm-urb) (2012).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. John Patrick Kenny Iv M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
4Medicare enrollment records show John Kenny reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Evanston, IL 60201
- Reassigned Medicare billing, Illinois enrollment
- 4,841 clinicians in this Medicare group
Crown Point, IN 46307
- Reassigned Medicare billing, Illinois enrollment
- 15 clinicians in this Medicare group
La Porte, IN 46350
- Reassigned Medicare billing, Indiana enrollment
- 141 clinicians in this Medicare group
Bremen, IN 46506
- Reassigned Medicare billing, Illinois enrollment
- 59 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
EVANSTON, IL 60201
EVANSTON, IL 60201
EVANSTON, IL 60201
EVANSTON, IL 60201
EVANSTON, IL 60201
EVANSTON, IL 60201
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 John Kenny's NPI number?
The NPI number for John Kenny is 1417218462. It was assigned to this individual provider in the NPPES registry on June 6, 2012.
Where is John Kenny located?
John Kenny practices at 2650 Ridge Ave Department Of Anesthesia, Evanston, IL 60201. The listed phone number is (847) 570-2760.
What is John Kenny's specialty?
The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.
Is John Kenny enrolled in Medicare?
Yes. John Kenny is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for John Kenny's services?
According to the CMS Revalidation Reassignment List (October 2026 release), John Kenny reassigns Medicare benefits to 4 organizations: Endeavor Health Medical Group (Evanston, IL), Vigilance Anesthesiologists & Pain Specialists PC (Crown Point, IN), Jebs Anesthesia Consultants, LLC (La Porte, IN) and Stat Anesthesia Specialists, Ltd. (Bremen, IN). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for John Kenny's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for John Kenny was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years 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.
# Dr. John Patrick Kenny IV, M.D. · NPI 1417218462
Anesthesiology physician in Evanston, Illinois. Individual provider, active in the CMS NPPES registry since June 6, 2012.
## Identity
- **NPI:** 1417218462 (Entity type: Individual)
- **Enumerated:** June 6, 2012
- **Primary specialty:** Anesthesiology · taxonomy 207L00000X
- **State license:** 036143776 (Illinois)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 2650 RIDGE AVE, DEPARTMENT OF ANESTHESIA, Evanston, IL 60201-1718
- **Phone:** (847) 570-2760 · **Fax:** (847) 570-2921
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Endeavor Health Medical Group (NPI 1265695944, Evanston, IL); Vigilance Anesthesiologists & Pain Specialists PC (NPI 1013475375, Crown Point, IN); Jebs Anesthesia Consultants, LLC (NPI 1790447761, La Porte, IN); Stat Anesthesia Specialists, Ltd. (NPI 1992754089, Bremen, IN) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Illinois College Of Med, class of 2012
## Record status
- **NPPES last updated:** March 17, 2018
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Source: [NPI Profile](https://npiprofile.com/npi/1417218462) · Data from the CMS NPPES public registry.