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KENDRA LENEE THEODOSOPOULOS AU.D.
NPI 1912368416
Audiologist in Peru, IL

Active since March 10, 2016Accepts Medicare Assignment
2200 MARQUETTE RD STE 115, PERU, IL 61354(815) 223-1100(815) 223-4105 Get Directions Write a Review

NPPES record last updated: February 14, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 14, 2019, Oct 23, 2018, Mar 17, 2018 and 1 more (4 updates tracked since 2018).

About Kendra Lenee Theodosopoulos Au.d. NPPES

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

KENDRA LENEE THEODOSOPOULOS AU.D. (NPI 1912368416) is an individual audiologist in Peru, Illinois, licensed in Illinois (147001591) and active in the NPI registry since March 2016. She is a graduate of Other (2016).

NPPES Registry Identity

NPI1912368416
Entity TypeIndividualFemale
Primary Taxonomy231H00000X
Provider Legal NameKENDRA LENEE THEODOSOPOULOSCredential: AU.D.
Location Address2200 MARQUETTE RD STE 115Peru, IL 61354-1587
Mailing Address2200 Marquette Rd Ste 115Peru, IL 61354-1587 · (815) 223-1100 · Fax (630) 303-5385
Phone(815) 223-1100
Fax(815) 223-4105
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateMarch 10, 2016
Last NPPES UpdateFebruary 14, 20194 updates tracked since enumeration
✔ NPI 1912368416 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAudiologistSpeech, Language and Hearing Service Providers
Taxonomy Code231H00000X
License✔ Licensed in IL · 147001591
Definition
(1) A specialist in evaluation, habilitation and rehabilitation of those whose communication disorders center in whole or in part in hearing function. Audiologists are autonomous professionals who identify, assess, and manage disorders of the auditory, balance and other neural systems. Audiologists provide audiological (aural) rehabilitation to children and adults across the entire age span. Audiologists select, fit and dispense amplification systems such as hearing aids and related devices. (2) An audiologist is a person qualified by a master's degree in audiology, licensed by the state, where applicable, and practicing within the scope of that license. Audiologists evaluate and treat patients with impaired hearing. They plan, direct and conduct rehabilitative programs with audiotry substitutional devises (hearing aids) and other therapy.
2200 MARQUETTE RD STE 115, Peru, IL 61354
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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

Kendra Lenee Theodosopoulos Au.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 ID3678866175
PECOS Enrollment IDI20160721000212

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Comprehensive hearing and speech recognition test 92557
A comprehensive hearing and speech recognition test assesses your ability to hear and understand spoken words. It includes hearing tests to check for issues with sound perception and speech tests to evaluate your word recognition. It's a crucial step in identifying any hearing or speech problems.
167 services167 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61354 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
$54.80 typical visit price
range $54.80 – $168.44
Typical copayment $13.70 (range $13.70 – $42.11)
Most-billed visit code 99202
Established Patient
$68.64 typical visit price
range $17.16 – $136.56
Typical copayment $17.16 (range $4.29 – $34.14)
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

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

THEOS AUDIOLOGY SOLUTIONS LLC
Clinic/Center (Hearing and Speech)
2200 MARQUETTE RD STE 115
PERU, IL 61354
Lasalle County (815) 223-1100

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 Kendra Theodosopoulos's NPI number?

The NPI number for Kendra Theodosopoulos is 1912368416. It was assigned to this individual provider in the NPPES registry on March 10, 2016.

Where is Kendra Theodosopoulos located?

Kendra Theodosopoulos practices at 2200 Marquette Rd Ste 115, Peru, IL 61354. The listed phone number is (815) 223-1100.

What is Kendra Theodosopoulos's specialty?

The primary specialty registered for this NPI is Audiologist with taxonomy code 231H00000X.

Is Kendra Theodosopoulos enrolled in Medicare?

Yes. Kendra Theodosopoulos 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 Kendra Theodosopoulos was last updated on February 14, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.