NPI Portal NPI Lookup & Verification

Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Dr. Kenneth Winston Holmes, M.D.

Specialist in Hazel Crest, IL · enumerated 2006.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1114982477

Verified

See something wrong? Report a correction

Registry record

Entity type Individual (Type 1)
Name Dr. Kenneth Winston Holmes
Credential M.D.
Sex Male
Practice address 3330 W 177th St, Suite 3c, Hazel Crest, IL, 60429
Enumeration date Apr 19, 2006
Last updated in NPPES Dec 16, 2021

Taxonomy & licenses

174400000X Specialist Other Service Providers · License 036-078410 (IL) Primary
MD · Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential

Other identifiers

Identifier Type State Issuer
0363796086 Medicaid IL -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

Where does Kenneth Holmes practice?
The practice location on file with NPPES is in Hazel Crest, IL. Providers can have multiple locations; NPPES lists the primary practice address.
What is the NPI number for Kenneth Holmes?
The National Provider Identifier (NPI) for Kenneth Holmes is 1114982477, a Type 1 (individual) record in the CMS NPPES registry.

Other providers at this practice address

Browse all →

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2021-12-16.