DR. GREGORY KENNEDY M.D.
NPI 1164816542
Pediatrics in Denver, CO

Q: What is Gregory Kennedy's NPI number?

The NPI number for Gregory Kennedy is 1164816542. It was assigned to this individual provider in the NPPES registry on March 24, 2015.

Q: What is Gregory Kennedy's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Gregory Kennedy was last updated on March 2, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since March 24, 2015PECOS Enrolled

777 BANNOCK ST, DENVER, CO 80204(303) 602-2716 Get Directions Write a Review

NPPES record last updated: March 2, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 2, 2021, Jul 8, 2018 (2 updates tracked since 2018).

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About Dr. Gregory Kennedy M.d. NPPES

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

DR. GREGORY KENNEDY M.D. (NPI 1164816542) is an individual pediatrics provider in Denver, Colorado, licensed in Colorado (0060165) and active in the NPI registry since March 2015. He is enrolled in Medicare PECOS and maintains a secondary practice location in Aurora.

NPPES Registry Identity

NPI1164816542

Entity TypeIndividualMale

Primary Taxonomy208000000X

Provider Legal NameDR. GREGORY KENNEDYCredential: M.D.

Location Address777 BANNOCK STDenver, CO 80204

Mailing Address1623 Saint Paul St Unit 201Denver, CO 80206-1666 · (314) 560-2292

Phone(303) 602-2716

Sole ProprietorNo

Enumeration DateMarch 24, 2015

Last NPPES UpdateMarch 2, 20212 updates tracked since enumeration

NPPES CertifiedMarch 2, 2021

✔ NPI 1164816542 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in CO · 0060165

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

777 BANNOCK ST, Denver, CO 80204

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Secondary Practice Location 1

Location 113001 E 17th Pl, University of Colorado School of Medicine GMEAurora, CO 80045-2570 · Phone (720) 777-6738

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Gregory Kennedy M.d. 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 Reassignment

Medicare enrollment records show Gregory Kennedy reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Denver Health And Hospital Authority

Same address

General Practice

777 BANNOCK ST
Denver, CO 80204

Reassigned Medicare billing, Colorado enrollment
2,259 clinicians in this Medicare group

NPI 1477569838 (303) 436-6000

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 80204 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

$89.43 typical visit price

range $58.06 – $174.82

Typical copayment $22.35 (range $14.51 – $43.70)

Most-billed visit code 99203

Established Patient

$102.03 typical visit price

range $18.88 – $142.79

Typical copayment $25.50 (range $4.72 – $35.69)

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.

MS. KATHERINE JEANNE CARLEY RN, MSN, CS

Clinical Nurse Specialist (Psychiatric/Mental Health)