Abdulrazak Kedo, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

01052945A Issued in IN

Practice address

1339 N Cherry Street
Rushville, IN 46173-1116

Phone

(765) 932-7000

Fax

(765) 932-7001

NPI assigned

Mar 22, 2006

Last updated

Feb 17, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 3

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in IN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Pediatric Medicine

Education

Other, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Rush Memorial HospitalGroup PAC ID 7012802754, 68 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: abdulrazakkedo@rushmemorial.cernerdirect.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Fishers Urgent Care LLC

  dba Fishers Urgnet Care

  • Urgent Care Clinic/Center
  • Fishers, IN
  • NPI 1669793568
  Medicare reassignment NPD Authorized official
• Rush Memorial Hospital

  • Critical Access Hospital
  • Rushville, IN
  • NPI 1497726020

  Pediatrics

  Medicare reassignment Care Compare group NPD
• Meridian Health Services Corp

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Muncie, IN
  • NPI 1992755490
  Medicare reassignment NPD
• Meridian Health Services Corp

  • Obstetrics & Gynecology Physician
  • Muncie, IN
  • NPI 1093146268

  Pediatrics

  NPD
• Meridian Health Services Corp.

  • Federally Qualified Health Center (FQHC)
  • Montpelier, IN
  • NPI 1417838574
  NPD
• Rush Memorial Hospital

  dba RMH Hometown Pharmacy

  • Community/Retail Pharmacy
  • Rushville, IN
  • NPI 1952139248
  NPD
• Major Hospital

  • General Acute Care Hospital
  • Shelbyville, IN
  • NPI 1174555692
  NPD (past)
• Rush Medical Arts Group, PC

  dba Premier Physicians

  • Specialist
  • Rushville, IN
  • NPI 1790813269
  NPD (past)
• Rush Memorial Hospital

  dba RMH Healthcare Associates Rural Health Clinic

  • Rural Health Clinic/Center
  • Rushville, IN
  • NPI 1659935781
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1142985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739750400000",
    "number": "1194784603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 N MAIN ST",
            "city": "RUSHVILLE",
            "state": "IN",
            "postal_code": "461731198",
            "telephone_number": "765-932-4111",
            "fax_number": "765-932-7505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1339 N CHERRY STREET",
            "city": "RUSHVILLE",
            "state": "IN",
            "postal_code": "461731116",
            "telephone_number": "765-932-7000",
            "fax_number": "765-932-7001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEDO",
        "first_name": "ABDULRAZAK",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-22",
        "last_updated": "2025-02-17",
        "certification_date": "2025-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IN",
            "license": "01052945A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000373848",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "01052945",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200319580",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "AbdulrazakKedo@rushmemorial.cernerdirect.com",
            "affiliation": "N",
            "endpointDescription": "Clinical Documents and CCD Exchange",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Clinical Documents and CCD Exchange",
            "address_1": "1339 N Cherry Street",
            "city": "Rushville",
            "state": "IN",
            "country_code": "US",
            "postal_code": "461731116",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kurt Leon Jacobs, DO
• Adam Jarman
• Allison Nicole Ellen Jett
• Johnson Memorial Hospital (The Waters of Rushville Skilled Nursing Facility)
• Kimberly Dawn Justus, MA.,MHC
• Clara Kemple
• Jessica Kieninger, O.D.
• Christopher L Kimmey, MD
• Kroger Limited Partnership I (Kroger Pharmacy)
• Christine Marie Laker, MS, RD, LDN

• Pediatrics Physician in Rushville, IN
• Providers in Rushville, IN by specialty
• Pediatrics Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.