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KENNETH MARTIN LESTER KELLNER MD
NPI 1891140117
Pediatrics - Neonatal-Perinatal Medicine in Evanston, IL

Active since April 25, 2016PECOS Enrolled
93.08/100
CMS Quality Rating
2650 RIDGE AVE STE 1505, EVANSTON, IL 60201(847) 570-2033(847) 570-0231 Get Directions Write a Review

NPPES record last updated: April 7, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 7, 2022, Jun 12, 2019, Aug 30, 2016 (3 updates tracked since 2016).

About Kenneth Martin Lester Kellner Md NPPES

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

KENNETH MARTIN LESTER KELLNER MD (NPI 1891140117) is an individual neonatal-perinatal medicine provider in Evanston, Illinois, licensed in Illinois (036148109) and active in the NPI registry since April 2016. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1891140117
Entity TypeIndividualMale
Primary Taxonomy2080N0001X
Provider Legal NameKENNETH MARTIN LESTER KELLNERCredential: MD
Location Address2650 RIDGE AVE STE 1505Evanston, IL 60201-1718
Mailing Address2650 Ridge Ave Ste 1505Evanston, IL 60201-1718 · (847) 570-2033
Phone(847) 570-2033
Fax(847) 570-0231
Sole ProprietorYes
Enumeration DateApril 25, 2016
Last NPPES UpdateApril 7, 20223 updates tracked since enumeration
NPPES CertifiedApril 7, 2022
✔ NPI 1891140117 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPediatrics · Neonatal-Perinatal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080N0001X
License✔ Licensed in IL · 036148109
Definition
A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
Also ListedPediatricsTaxonomy 208000000X · License 036.148109 (IL)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
2650 RIDGE AVE STE 1505, Evanston, IL 60201
Open in Google Maps ↗

Secondary Practice Locations 2

Location 11740 W Taylor StChicago, IL 60612-7232 · Phone (866) 600-2273
Location 25841 S Maryland Ave # Mc6060Chicago, IL 60637-1443 · Phone (773) 702-6210

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kenneth Martin Lester Kellner Md 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.

Medicare Billing Reassignment

Medicare enrollment records show Kenneth Kellner reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Endeavor Health Medical Group
Same address
Anesthesiology
2650 RIDGE AVE, ANESTHESIOLOGY ROOM 3905
Evanston, IL 60201
  • Reassigned Medicare billing, Illinois enrollment
  • 4,841 clinicians in this Medicare group
NPI 1265695944 (847) 570-2760

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

93.08/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.79
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 3

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

LINA SAPIEGIENE MD
Pediatrics (Neonatal-Perinatal Medicine)
2650 RIDGE AVE STE 1505
EVANSTON, IL 60201
Cook County (847) 570-2033
DR. BERNHARD H ALLGAIER MD
Pediatrics (Neonatal-Perinatal Medicine)
2650 RIDGE AVE STE 1505
EVANSTON, IL 60201
Cook County (847) 570-2033
DR. JOEL B FISHER M.D.
Pediatrics (Neonatal-Perinatal Medicine)
2650 RIDGE AVE STE 1505
EVANSTON, IL 60201
Cook County (847) 570-2033

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 Kellner's NPI number?

The NPI number for Kenneth Kellner is 1891140117. It was assigned to this individual provider in the NPPES registry on April 25, 2016.

Where is Kenneth Kellner located?

Kenneth Kellner practices at 2650 Ridge Ave Ste 1505, Evanston, IL 60201. The listed phone number is (847) 570-2033.

What is Kenneth Kellner's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Neonatal-Perinatal Medicine, with taxonomy code 2080N0001X.

Is Kenneth Kellner enrolled in Medicare?

Yes. Kenneth Kellner is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kenneth Kellner's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kenneth Kellner reassigns Medicare benefits to Endeavor Health Medical Group (Evanston, 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 Kenneth Kellner'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 Kenneth Kellner was last updated on April 7, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.