Kevin A. Fredericks, D.C.
NPI 1104906213ActiveIndividual· Chiropractor· Carol Stream, IL
Chiropractor (D.C.) in Carol Stream, Illinois, trained at National College of Chiropractic (class of 1986). Medicare paid $8,530 for services to 41 patients in 2024.
Overview
| NPI | 1104906213 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | D.C. |
| Sole proprietor | No |
| NPI issued | Oct 16, 2006 |
| Last updated in NPPES | Jul 8, 2007 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Chiropractor Primary | 111N00000X | — | IL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Chiropractic (IL) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 41 |
|---|---|
| Services billed | 304 across 2 procedure codes |
| Paid by Medicare | $8,530 |
Education and affiliations
| Medical school | National College of Chiropractic |
|---|---|
| Graduation year | 1986 |
| Medicare specialty | Chiropractic |
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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