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DR. KATHERINE KENNINGHAM MD
NPI 1043586969
Pediatrics - Neonatal-Perinatal Medicine in Tacoma, WA

Active since March 26, 2012PECOS Enrolled
315 MARTIN LUTHER KING JR WAY, TACOMA, WA 98405(253) 403-1000 Get Directions Write a Review

NPPES record last updated: October 27, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Katherine Kenningham Md NPPES

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

DR. KATHERINE KENNINGHAM MD (NPI 1043586969) is an individual neonatal-perinatal medicine provider in Tacoma, Washington, licensed in Washington (MD60564662) and active in the NPI registry since March 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1043586969
Entity TypeIndividualFemale
Primary Taxonomy2080N0001X
Provider Legal NameDR. KATHERINE KENNINGHAMCredential: MD
Location Address315 MARTIN LUTHER KING JR WAYTacoma, WA 98405-4234
Mailing Address4909 42nd Ave NwGig Harbor, WA 98335-8160 · (206) 854-7350
Phone(253) 403-1000
Sole ProprietorNo
Enumeration DateMarch 26, 2012
Last NPPES UpdateOctober 27, 2021
NPPES CertifiedOctober 27, 2021
✔ NPI 1043586969 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPediatrics · Neonatal-Perinatal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080N0001X
License✔ Licensed in WA · MD60564662
Definition
A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
Also ListedPediatricsTaxonomy 208000000X · License MD 60564662 (WA), 60292818 (WA)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
315 MARTIN LUTHER KING JR WAY, Tacoma, WA 98405
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Katherine Kenningham Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Katherine Kenningham reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Multicare Health System
Same address
Pediatrics
315 MARTIN LUTHER KING JR WAY
Tacoma, WA 98405
  • Reassigned Medicare billing, Washington enrollment
  • 4,383 clinicians in this Medicare group
NPI 1023101235 (253) 403-1000
Seattle Children's Hospital
21 mi
Primary Care
3939 S OTHELLO ST STE 101
Seattle, WA 98118
  • Reassigned Medicare billing, Washington enrollment
  • Medicare enrollment name: Seattle Childrens Hospital
  • 912 clinicians in this Medicare group
NPI 1134251747 (206) 987-7200

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JUSTIN CHA-CHENG NG MD
Emergency Medicine
315 MARTIN LUTHER KING JR WAY
TACOMA, WA 98405
Pierce County (253) 403-2050
MR. SHI CHIAN KHOR PA
Physician Assistant (Surgical)
315 MARTIN LUTHER KING JR WAY
TACOMA, WA 98405
Pierce County (253) 403-7537
DESISLAVA ZLATANOVA HITE M.D.
General Practice
315 MARTIN LUTHER KING JR WAY
TACOMA, WA 98405
Pierce County (253) 403-8327
MRS. CHRISTINE MELODY BEUNING PHARM.D.
Pharmacist (Pharmacotherapy)
315 MARTIN LUTHER KING JR WAY
TACOMA, WA 98405
Pierce County (253) 403-1535
ROBERT F WACHTEL MD
Emergency Medicine
315 MARTIN LUTHER KING JR WAY
TACOMA, WA 98405
Pierce County (253) 403-1000
JAMES M ROOS MD
Family Medicine
315 MARTIN LUTHER KING JR WAY
TACOMA, WA 98405
Pierce County (253) 403-1000
RICK HAHN ARNP
Nurse Practitioner
315 MARTIN LUTHER KING JR WAY
TACOMA, WA 98405
Pierce County (253) 403-1000
JANET KOBAYASHI-HOBSON CCC
Speech-Language Pathologist
315 MARTIN LUTHER KING JR WAY
TACOMA, WA 98405
Pierce County (253) 403-1000

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 Katherine Kenningham's NPI number?

The NPI number for Katherine Kenningham is 1043586969. It was assigned to this individual provider in the NPPES registry on March 26, 2012.

Where is Katherine Kenningham located?

Katherine Kenningham practices at 315 Martin Luther King Jr Way, Tacoma, WA 98405. The listed phone number is (253) 403-1000.

What is Katherine Kenningham's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Neonatal-Perinatal Medicine, with taxonomy code 2080N0001X.

Is Katherine Kenningham enrolled in Medicare?

Yes. Katherine Kenningham is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Katherine Kenningham's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Katherine Kenningham reassigns Medicare benefits to 2 organizations: Multicare Health System (Tacoma, WA) and Seattle Children's Hospital (Seattle, WA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Katherine Kenningham's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Katherine Kenningham accept?

Health plans from Ambetter Health, Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Katherine Kenningham as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Katherine Kenningham was last updated on October 27, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.