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DR. GREGORY THOMAS KENNEDY
NPI 1124550009
Student in an Organized Health Care Education/Training Program in Stanford, CA

Active since March 30, 2017PECOS Enrolled
300 PASTEUR DR, STANFORD, CA 94305(215) 410-9829 Get Directions Write a Review

NPPES record last updated: June 21, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 21, 2024, Mar 30, 2017 (2 updates tracked since 2017).

About Dr. Gregory Thomas Kennedy NPPES

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

DR. GREGORY THOMAS KENNEDY (NPI 1124550009) is an individual student in an organized health care education/training program in Stanford, California and active in the NPI registry since March 2017. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1124550009
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. GREGORY THOMAS KENNEDY
Location Address300 PASTEUR DRStanford, CA 94305-2200
Mailing Address700 Clark Way Unit 27-1070Palo Alto, CA 94304-2398 · (215) 410-9829
Phone(215) 410-9829
Sole ProprietorYes
Enumeration DateMarch 30, 2017
Last NPPES UpdateJune 21, 20242 updates tracked since enumeration
NPPES CertifiedJune 21, 2024
✔ NPI 1124550009 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
300 PASTEUR DR, Stanford, CA 94305
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Gregory Thomas Kennedy 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.

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.

PRISTA CHARUWORN MD
Internal Medicine (Gastroenterology)
300 PASTEUR DR, ALWAY BUILD M211, MC 5187
STANFORD, CA 94305
Santa Clara County (650) 723-6661
ANDREW CHARLES PICEL M.D
Radiology (Vascular & Interventional Radiology)
300 PASTEUR DR
STANFORD, CA 94305
Santa Clara County (650) 723-4000
MATTHEW A WRIGHT M.D. PH.D.
Psychiatry & Neurology (Psychiatry)
300 PASTEUR DR
STANFORD, CA 94305
Santa Clara County (650) 723-4000
DR. QUAZI ZUBAIR AL-TARIQ M.D.
Radiology (Diagnostic Radiology)
300 PASTEUR DR
STANFORD, CA 94305
Santa Clara County (650) 723-4000
ANGIE DEE MURKINS NP
Nurse Practitioner
300 PASTEUR DR
STANFORD, CA 94305
Santa Clara County (650) 723-4000
DR. JAMSHID GHAJAR MD PHD
Neurological Surgery
300 PASTEUR DR
STANFORD, CA 94305
Santa Clara County (650) 723-4000
SARA BAKHTARY M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
300 PASTEUR DR, LANE 235
STANFORD, CA 94305
Santa Clara County (650) 723-5252
YU KUANG LAI MD
Internal Medicine (Critical Care Medicine)
300 PASTEUR DR
STANFORD, CA 94305
Santa Clara County (650) 723-4000

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 Gregory Kennedy's NPI number?

The NPI number for Gregory Kennedy is 1124550009. It was assigned to this individual provider in the NPPES registry on March 30, 2017.

Where is Gregory Kennedy located?

Gregory Kennedy practices at 300 Pasteur Dr, Stanford, CA 94305. The listed phone number is (215) 410-9829.

What is Gregory Kennedy's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Gregory Kennedy enrolled in Medicare?

Yes. Gregory Kennedy is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Gregory Kennedy was last updated on June 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.