LEANDRE KENNEDY DPM
NPI 1962286518
Podiatrist - Foot & Ankle Surgery in Peoria, IL
About Leandre Kennedy Dpm NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LEANDRE KENNEDY DPM (NPI 1962286518) is an individual foot & ankle surgery provider in Peoria, Illinois, licensed in Illinois (135001212) and active in the NPI registry since August 2023. He is enrolled in Medicare PECOS and is a graduate of Other (2023).
NPPES Registry Identity
Specialties & Licenses
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
Leandre Kennedy Dpm 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 Reassignments
2Medicare enrollment records show Leandre Kennedy reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Peoria, IL 61615
- Reassigned Medicare billing, Illinois enrollment
- 2,944 clinicians in this Medicare group
Henry, IL 61537
- Reassigned Medicare billing, Illinois enrollment
- Also billed through NPI 1427475177 (Illinois)
- 93 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.
Other Providers at the Same Location NPPES 8
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PEORIA, IL 61614
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 Leandre Kennedy's NPI number?
The NPI number for Leandre Kennedy is 1962286518. It was assigned to this individual provider in the NPPES registry on August 23, 2023.
Where is Leandre Kennedy located?
Leandre Kennedy practices at 3322 W Willow Knolls Dr, Peoria, IL 61614. The listed phone number is (309) 691-5800.
What is Leandre Kennedy's specialty?
The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.
Is Leandre Kennedy enrolled in Medicare?
Yes. Leandre Kennedy 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 organizations bill Medicare for Leandre Kennedy's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Leandre Kennedy reassigns Medicare benefits to 2 organizations: Osf Multi-Specialty Group (Peoria, IL) and Osf Healthcare System (Henry, IL). Each 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 Leandre Kennedy'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 Leandre Kennedy was last updated on February 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Leandre Kennedy, DPM · NPI 1962286518
Foot & Ankle Surgery provider in Peoria, Illinois. Individual provider, active in the CMS NPPES registry since August 23, 2023.
## Identity
- **NPI:** 1962286518 (Entity type: Individual)
- **Enumerated:** August 23, 2023
- **Primary specialty:** Podiatrist - Foot & Ankle Surgery · taxonomy 213ES0103X
- **State license:** 135001212 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 3322 W WILLOW KNOLLS DR, Peoria, IL 61614-8148
- **Phone:** (309) 691-5800
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Osf Multi-Specialty Group (NPI 1922445527, Peoria, IL); Osf Healthcare System (NPI 1982311627, Henry, IL) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2023
## Record status
- **NPPES last updated:** February 17, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1962286518) · Data from the CMS NPPES public registry.