MIRIAM KENNELLY MD
NPI 1114459872
Internal Medicine in Seattle, WA
About Miriam Kennelly Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MIRIAM KENNELLY MD (NPI 1114459872) is an individual internal medicine provider in Seattle, Washington, licensed in Washington (MD61057916) and active in the NPI registry since March 2017. She is enrolled in Medicare PECOS, is affiliated with Swedish Medical Center, and maintains a secondary practice location in Los Angeles.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Miriam Kennelly Md 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.
Medicare Billing Reassignment
Medicare enrollment records show Miriam Kennelly reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Renton, WA 98055
- Reassigned Medicare billing, Washington enrollment
- 291 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 6
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Swedish Medical Center
Acute Care Hospitals · Seattle, WAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 98104 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
SEATTLE, WA 98104
SEATTLE, WA 98104
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 Miriam Kennelly's NPI number?
The NPI number for Miriam Kennelly is 1114459872. It was assigned to this individual provider in the NPPES registry on March 31, 2017.
Where is Miriam Kennelly located?
Miriam Kennelly practices at 1101 Madison St Ste 301, Seattle, WA 98104. The listed phone number is (206) 505-1300.
What is Miriam Kennelly's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Miriam Kennelly enrolled in Medicare?
Yes. Miriam Kennelly 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.
Which organization bills Medicare for Miriam Kennelly's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Miriam Kennelly reassigns Medicare benefits to Pacmed Clinics (Renton, WA). The 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 Miriam Kennelly's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Miriam Kennelly accept?
Health plans from Ambetter Health, Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Miriam Kennelly 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.
Is Miriam Kennelly affiliated with any hospitals?
According to CMS data, Miriam Kennelly is affiliated with Swedish Medical Center.
When was this NPI record last updated?
The NPPES record for Miriam Kennelly was last updated on July 28, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Miriam Kennelly, MD · NPI 1114459872
Internal Medicine physician in Seattle, Washington. Individual provider, active in the CMS NPPES registry since March 31, 2017.
## Identity
- **NPI:** 1114459872 (Entity type: Individual)
- **Enumerated:** March 31, 2017
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** MD61057916 (Washington)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1101 MADISON ST STE 301, Seattle, WA 98104-3599
- **Phone:** (206) 505-1300
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Pacmed Clinics (NPI 1720023641, Renton, WA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2017
## Record status
- **NPPES last updated:** July 28, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1114459872) · Data from the CMS NPPES public registry.