WILLIAM KENWORTHEY PA
NPI 1083031504
Physician Assistant - Surgical in Redwood City, CA

Active since March 21, 2014PECOS EnrolledAccepts Medicare Assignment
905 MAPLE STREET, 3RD FLOOR, NEUROSURGERY CLINIC, OFFICE #3095, REDWOOD CITY, CA 94063(650) 299-2290(650) 299-2677 Get Directions Write a Review

NPPES record last updated: May 27, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 27, 2022, Jan 3, 2022 (2 updates tracked since 2022).

About William Kenworthey Pa NPPES

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

WILLIAM KENWORTHEY PA (NPI 1083031504) is an individual surgical provider in Redwood City, California, licensed in California (51396) and active in the NPI registry since March 2014. He is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1083031504
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameWILLIAM KENWORTHEYCredential: PA
Location Address905 MAPLE STREET, 3RD FLOOR, NEUROSURGERY CLINIC, OFFICE #3095Redwood City, CA 94063
Mailing Address905 Maple Street, 3rd Floor, Neurosurgery Clinic, Office #3095Redwood City, CA 94063 · (650) 299-2290 · Fax (650) 299-2677
Fax(650) 299-2677
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateMarch 21, 2014
Last NPPES UpdateMay 27, 20222 updates tracked since enumeration
NPPES CertifiedMay 16, 2022
NPI 1083031504 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License Licensed in CA · 51396
905 MAPLE STREET, Redwood City, CA 94063

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

William Kenworthey Pa is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5496970352
PECOS Enrollment IDI20140709000535
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.

Other Providers at the Same Location NPPES

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

Dietitian, Registered
905 MAPLE STREET
REDWOOD CITY, CA 94063

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 William Kenworthey's NPI number?

The NPI number for William Kenworthey is 1083031504. It was assigned to this individual provider in the NPPES registry on March 21, 2014.

Where is William Kenworthey located?

William Kenworthey practices at 905 Maple Street 3rd Floor, Neurosurgery Clinic, Office #3095, Redwood City, CA 94063. The listed phone number is (650) 299-2290.

What is William Kenworthey's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is William Kenworthey enrolled in Medicare?

Yes. William Kenworthey is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for William Kenworthey was last updated on May 27, 2022. 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.