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REBECCA H. KENNEDY MD
NPI 1013956564
Family Medicine in Portland, OR

Active since June 06, 2006Opted out of Medicare · through Apr 1, 2028
2455 NW MARSHALL ST STE 10, PORTLAND, OR 97210(503) 913-5409 Get Directions Write a Review

NPPES record last updated: December 12, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 12, 2023, Nov 16, 2023, Feb 4, 2022 (3 updates tracked since 2022).

About Rebecca H. Kennedy Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

REBECCA H. KENNEDY MD (NPI 1013956564) is an individual family medicine provider in Portland, Oregon, licensed in Oregon (MD22655) and active in the NPI registry since June 2006. She has opted out of Medicare through April 1, 2028.

NPPES Registry Identity

NPI1013956564
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameREBECCA H. KENNEDYCredential: MD
Location Address2455 NW MARSHALL ST STE 10Portland, OR 97210-2949
Mailing Address10350 N Vancouver Way # 5307Portland, OR 97217-7530 · (503) 913-5409
Phone(503) 913-5409
Sole ProprietorNo
Enumeration DateJune 6, 2006
Last NPPES UpdateDecember 12, 20233 updates tracked since enumeration
NPPES CertifiedNovember 16, 2023
✔ NPI 1013956564 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in OR · MD22655
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

2455 NW MARSHALL ST STE 10, Portland, OR 97210
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

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Opted out of Medicare

Rebecca H. Kennedy Md has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 1, 2024 through April 1, 2028.

Opt-Out Effective DateApril 1, 2024
Opt-Out In Effect ThroughApril 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Rebecca Kennedy's NPI number?

The NPI number for Rebecca Kennedy is 1013956564. It was assigned to this individual provider in the NPPES registry on June 6, 2006.

Where is Rebecca Kennedy located?

Rebecca Kennedy practices at 2455 NW Marshall St Ste 10, Portland, OR 97210. The listed phone number is (503) 913-5409.

What is Rebecca Kennedy's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Rebecca Kennedy enrolled in Medicare?

No. Rebecca Kennedy has opted out of Medicare through April 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Rebecca Kennedy was last updated on December 12, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.