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Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Derek G Kenneaster, MD

Dermatology Physician in Herrin, IL · enumerated 2006 · practices at Southern Illinois Dermatology, PC.

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

National Provider Identifier

1457372724

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Registry record

Entity type Individual (Type 1)
Name Derek G Kenneaster
Credential MD
Sex Male
Practice address 220 N Park Ave, Suite 2, Herrin, IL, 62948
Phone (618) 942-3344
Fax (618) 942-5045
Enumeration date Jul 22, 2006
Last updated in NPPES Mar 23, 2011

Taxonomy & licenses

207N00000X Dermatology Physician Allopathic & Osteopathic Physicians · License ME94334 (FL) 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
036093018 Medicaid IL -
10007459 Other - BCBS
65958 Other - MEDICARE PTAN
31057 Other FL BCBS

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.

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Frequently asked questions

How do I verify Derek Kenneaster's NPI record?
Cross-check NPI 1457372724 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.
Is NPI 1457372724 active?
Yes, as of the latest NPPES snapshot, NPI 1457372724 is active (record last updated 2011-03-23).

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2011-03-23.