KENNETH DAVID ILLINGWORTH M.D.
NPI 1851646566
Orthopaedic Surgery in West Hollywood, CA

Active since July 18, 2012PECOS EnrolledAccepts Medicare Assignment
8700 BEVERLY BLVD, WEST HOLLYWOOD, CA 90048(310) 423-9900 Get Directions Write a Review

NPPES record last updated: May 27, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kenneth David Illingworth M.d. NPPES

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

KENNETH DAVID ILLINGWORTH M.D. (NPI 1851646566) is an individual orthopaedic surgery provider in West Hollywood, California, licensed in California (A147674) and active in the NPI registry since July 2012. He is enrolled in Medicare PECOS, maintains a secondary practice location in Springfield, and is a graduate of University Of Texas Medical School At Houston (2009).

NPPES Registry Identity

NPI1851646566
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameKENNETH DAVID ILLINGWORTHCredential: M.D.
Location Address8700 BEVERLY BLVDWest Hollywood, CA 90048-1804
Mailing Address4140 W 190th StTorrance, CA 90504-5513 · (310) 967-1780 · Fax (866) 991-4287
Sole ProprietorNo
Medical School CMSUniversity Of Texas Medical School At HoustonGraduated 2009
Enumeration DateJuly 18, 2012
Last NPPES UpdateMay 27, 2021
NPPES CertifiedMay 27, 2021
NPI 1851646566 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
Licenses Licensed in CA · A147674 Licensed in IL · 125.061286
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
8700 BEVERLY BLVD, West Hollywood, CA 90048

Secondary Practice Location 1

Location 1301 N 8th St PAV 3A158Springfield, IL 62794 · Phone (217) 545-8853 · Fax (217) 545-0828

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Kenneth David Illingworth 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.

PECOS PAC ID3072887074
PECOS Enrollment IDI20170914000747
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 90048 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
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.

Nurse Practitioner (Acute Care)
8700 BEVERLY BLVD, NORTH TOWER ROOM 6215
WEST HOLLYWOOD, CA 90048
Psychiatry & Neurology (Psychiatry)
8700 BEVERLY BLVD
WEST HOLLYWOOD, CA 90048
Social Worker (Clinical)
8700 BEVERLY BLVD, SUITE AC1002
WEST HOLLYWOOD, CA 90048
Pediatrics
8700 BEVERLY BLVD
WEST HOLLYWOOD, CA 90048
Pathology (Anatomic Pathology & Clinical Pathology)
8700 BEVERLY BLVD
WEST HOLLYWOOD, CA 90048
Emergency Medicine
8700 BEVERLY BLVD
WEST HOLLYWOOD, CA 90048
Nurse Practitioner (Pediatrics)
8700 BEVERLY BLVD
WEST HOLLYWOOD, CA 90048
Student in an Organized Health Care Education/Training Program
8700 BEVERLY BLVD
WEST HOLLYWOOD, CA 90048

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 Kenneth Illingworth's NPI number?

The NPI number for Kenneth Illingworth is 1851646566. It was assigned to this individual provider in the NPPES registry on July 18, 2012.

Where is Kenneth Illingworth located?

Kenneth Illingworth practices at 8700 Beverly Blvd, West Hollywood, CA 90048. The listed phone number is (310) 423-9900.

What is Kenneth Illingworth's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Kenneth Illingworth enrolled in Medicare?

Yes. Kenneth Illingworth 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.

When was this NPI record last updated?

The NPPES record for Kenneth Illingworth was last updated on May 27, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.