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, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Leandre Kennedy Dpm is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
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 enrollment system.
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 6 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 in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Medical school:** Other, class of 2023
## Record status
- **NPPES last updated:** February 17, 2026
---
Source: [NPI Profile](https://npiprofile.com/npi/1962286518) · Data from the CMS NPPES public registry.