KENEDI CHEATHAM PA-C
NPI 1720961022
Physician Assistant in Indianapolis, IN

Q: What is Kenedi Cheatham's NPI number?

The NPI number for Kenedi Cheatham is 1720961022. It was assigned to this individual provider in the NPPES registry on July 26, 2025.

Q: What is Kenedi Cheatham's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Kenedi Cheatham was last updated on August 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since July 26, 2025PECOS Enrolled

3524 N MERIDIAN ST, INDIANAPOLIS, IN 46208(317) 925-0653 Get Directions Write a Review

NPPES record last updated: August 5, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 5, 2026, Sep 16, 2025 (2 updates tracked since 2025).

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About Kenedi Cheatham Pa-c NPPES

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

KENEDI CHEATHAM PA-C (NPI 1720961022) is an individual physician assistant in Indianapolis, Indiana, licensed in Indiana (10004918A) and active in the NPI registry since July 2025. She is enrolled in Medicare PECOS, is affiliated with Indiana University Health, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1720961022

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameKENEDI CHEATHAMCredential: PA-C

Location Address3524 N MERIDIAN STIndianapolis, IN 46208-4486

Mailing Address3524 N Meridian StIndianapolis, IN 46208-4486 · (317) 496-7137

Phone(317) 925-0653

Sole ProprietorNo

Medical School CMSOtherGraduated 2024

Enumeration DateJuly 26, 2025

Last NPPES UpdateAugust 5, 20262 updates tracked since enumeration

NPPES CertifiedAugust 5, 2026

✔ NPI 1720961022 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in IN · 10004918A

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

3524 N MERIDIAN ST, Indianapolis, IN 46208

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, UnitedHealthcare.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)

Kenedi Cheatham Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4880198605

PECOS Enrollment IDI20250916002267

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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Indiana University Health

Acute Care Hospitals · Indianapolis, IN

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number150056

Location1701 N Senate BlvdIndianapolis, IN 46202 · Marion County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46208 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

$82.04 typical visit price

range $53.07 – $161.76

Typical copayment $20.51 (range $13.26 – $40.44)

Most-billed visit code 99203

Established Patient

$66.48 typical visit price

range $16.93 – $132.22

Typical copayment $16.62 (range $4.23 – $33.05)

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 20

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

MERIDIAN DIRECT PRIMARY CARE

General Practice