Pradeep A Keni, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

036046184 Issued in IL

Practice address

6420 W 127TH St Ste 106
Palos Heights, IL 60463-2297

Phone

(708) 371-3090

Fax

(708) 371-1529

NPI assigned

Sep 13, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in IL

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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

• Pradeep a Keni M D S C

  • Specialist
  • Palos Heights, IL
  • NPI 1235231366
  Medicare reassignment NPD

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

{
    "created_epoch": "1189641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752796800000",
    "number": "1841485737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6420 W 127TH ST STE 106",
            "city": "PALOS HEIGHTS",
            "state": "IL",
            "postal_code": "604632297",
            "telephone_number": "708-371-3090",
            "fax_number": "708-371-1529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6420 W 127TH ST STE 106",
            "city": "PALOS HEIGHTS",
            "state": "IL",
            "postal_code": "604632297",
            "telephone_number": "708-371-3090",
            "fax_number": "708-371-1529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENI",
        "first_name": "PRADEEP",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-09-13",
        "last_updated": "2025-07-18",
        "certification_date": "2025-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "IL",
            "license": "036046184",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "21604442",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036046184",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kenneth A. Kehl, D.D.S.
• Patricia Rose Kehoe, NP
• Kyle Kelly, PTA
• Maureen E Kelly, MD
• Jamil Shamari Kendall, MD
• Sanjay Pradeep Keni, M.D.
• Sarita Keni, MD
• Vilija R Kerelis, D.C.
• Dominika Kesek
• Kristina Kevin, APRN, CNP

• Specialist in Palos Heights, IL
• Providers in Palos Heights, IL by specialty
• Specialist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.