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DR. CHARLES WILLIAM KENNEDY V MD
NPI 1154026045
Internal Medicine in Dallas, TX

Active since March 31, 2023PECOS Enrolled
5323 HARRY HINES BLVD, DALLAS, TX 75390(214) 648-3111 Get Directions Write a Review

NPPES record last updated: March 13, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 13, 2026, Mar 31, 2023 (2 updates tracked since 2023).

About Dr. Charles William Kennedy V Md NPPES

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

DR. CHARLES WILLIAM KENNEDY V MD (NPI 1154026045) is an individual internal medicine provider in Dallas, Texas, licensed in Georgia (111262) and active in the NPI registry since March 2023. He is enrolled in Medicare PECOS and is a graduate of George Washington University School Of Medicine (2023).

NPPES Registry Identity

NPI1154026045
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. CHARLES WILLIAM KENNEDY VCredential: MD
Location Address5323 HARRY HINES BLVDDallas, TX 75390-7201
Mailing Address5323 Harry Hines BlvdDallas, TX 75390-7201
Phone(214) 648-3111
Sole ProprietorNo
Medical School CMSGeorge Washington University School Of MedicineGraduated 2023
Enumeration DateMarch 31, 2023
Last NPPES UpdateMarch 13, 20262 updates tracked since enumeration
NPPES CertifiedMarch 13, 2026
✔ NPI 1154026045 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in GA · 111262
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
5323 HARRY HINES BLVD, Dallas, TX 75390
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Alabama.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. Charles William Kennedy V Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9638649650
PECOS Enrollment IDI20260529003959
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 Charles Kennedy reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Muscogee Hospitalist Services, LLC
691 mi
Hospitalist
710 CENTER ST
Columbus, GA 31901
  • Reassigned Medicare billing, Georgia enrollment
  • 163 clinicians in this Medicare group
NPI 1639681851 (706) 571-1000
Benning Hospitalist Services, LLC
693 mi
Hospitalist
100 FRIST CT
Columbus, GA 31909
  • Reassigned Medicare billing, Georgia enrollment
  • 165 clinicians in this Medicare group
NPI 1215442173 (706) 494-2100

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75390 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$131.01 typical visit price
range $57.18 – $172.86
Typical copayment $32.75 (range $14.29 – $43.21)
Most-billed visit code 99204
Established Patient
$100.80 typical visit price
range $18.48 – $141.20
Typical copayment $25.20 (range $4.62 – $35.30)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

MRS. TANYA MARIE PLETIN PA-C
Physician Assistant
5323 HARRY HINES BLVD
DALLAS, TX 75390
Dallas County (214) 648-6400
BENJAMIN SETH MARTINEZ MD
Anesthesiology
5323 HARRY HINES BLVD
DALLAS, TX 75390
Dallas County (214) 648-3111
LEE M. LUNSFORD MD
Anesthesiology
5323 HARRY HINES BLVD
DALLAS, TX 75390
Dallas County (214) 648-8000
TING-YI CHEN M.D.
Internal Medicine (Infectious Disease)
5323 HARRY HINES BLVD
DALLAS, TX 75390
Dallas County (214) 645-2800
DR. STEPHANIE C JONES MD
Pain Medicine (Interventional Pain Medicine)
5323 HARRY HINES BLVD
DALLAS, TX 75390
Dallas County (214) 648-9374
DR. KATHERINE ANNA JOHNSON MD
Pediatrics
5323 HARRY HINES BLVD
DALLAS, TX 75390
Dallas County (214) 456-0771
ALEX KOYFMAN M.D.
Emergency Medicine
5323 HARRY HINES BLVD
DALLAS, TX 75390
Dallas County (214) 645-0624
MR. JAWAHAR JAGARAPU M.D
Pediatrics (Neonatal-Perinatal Medicine)
5323 HARRY HINES BLVD
DALLAS, TX 75390
Dallas County (214) 648-3903

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 Charles Kennedy's NPI number?

The NPI number for Charles Kennedy is 1154026045. It was assigned to this individual provider in the NPPES registry on March 31, 2023.

Where is Charles Kennedy located?

Charles Kennedy practices at 5323 Harry Hines Blvd, Dallas, TX 75390. The listed phone number is (214) 648-3111.

What is Charles Kennedy's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Charles Kennedy enrolled in Medicare?

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

Which organizations bill Medicare for Charles Kennedy's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Charles Kennedy reassigns Medicare benefits to 2 organizations: Muscogee Hospitalist Services, LLC (Columbus, GA) and Benning Hospitalist Services, LLC (Columbus, GA). 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 Charles Kennedy's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Charles Kennedy accept?

Health plans from Blue Cross and Blue Shield of Alabama list Charles Kennedy 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 Charles Kennedy was last updated on March 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.