KELLEN DOUGLAS WRIGHT MD
NPI 1568164028
Internal Medicine in Maywood, IL
About Kellen Douglas Wright Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KELLEN DOUGLAS WRIGHT MD (NPI 1568164028) is an individual internal medicine provider in Maywood, Illinois, licensed in Illinois (125.081299) and active in the NPI registry since March 2023. He is enrolled in Medicare PECOS, is affiliated with University Of Illinois Hospital And Clinics, and is a graduate of University Of Kansas School Of Med (kc/wich/sal) (2023).
NPPES Registry Identity
Specialties & Licenses 2
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
Kellen Douglas Wright Md 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 Reassignment
Medicare enrollment records show Kellen Wright reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Chicago, IL 60632
- Reassigned Medicare billing, Illinois enrollment
- 2,127 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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
University Of Illinois Hospital And Clinics
Acute Care Hospitals · Chicago, ILLoyola University Medical Center
Acute Care Hospitals · Maywood, ILPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 60153 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
MAYWOOD, IL 60153
MAYWOOD, IL 60153
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 Kellen Wright's NPI number?
The NPI number for Kellen Wright is 1568164028. It was assigned to this individual provider in the NPPES registry on March 20, 2023.
Where is Kellen Wright located?
Kellen Wright practices at 2160 S 1st Ave, Maywood, IL 60153. The listed phone number is (888) 584-7888.
What is Kellen Wright's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Kellen Wright enrolled in Medicare?
Yes. Kellen Wright 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 organization bills Medicare for Kellen Wright's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kellen Wright reassigns Medicare benefits to The Board Of Trustees Of The University Of Illinois (Chicago, IL). The 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 Kellen Wright's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Kellen Wright affiliated with any hospitals?
According to CMS data, Kellen Wright is affiliated with University Of Illinois Hospital And Clinics and Loyola University Medical Center.
When was this NPI record last updated?
The NPPES record for Kellen Wright was last updated on May 22, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Kellen Douglas Wright, MD · NPI 1568164028
Internal Medicine physician in Maywood, Illinois. Individual provider, active in the CMS NPPES registry since March 20, 2023.
## Identity
- **NPI:** 1568164028 (Entity type: Individual)
- **Enumerated:** March 20, 2023
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** 125.081299 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 2160 S 1ST AVE, Maywood, IL 60153-3328
- **Phone:** (888) 584-7888
## 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:** The Board Of Trustees Of The University Of Illinois (NPI 1932450160, Chicago, IL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Kansas School Of Med, class of 2023
## Record status
- **NPPES last updated:** May 22, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1568164028) · Data from the CMS NPPES public registry.