DR. THOMAS MICHAEL KENNEDY MD
NPI 1215295381
Pediatrics - Pediatric Emergency Medicine in New York, NY

Active since April 26, 2012PECOS Enrolled
3959 BROADWAY, NEW YORK, NY 10032(212) 305-5437 Get Directions Write a Review

NPPES record last updated: March 10, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 10, 2023, Jun 22, 2018 (2 updates tracked since 2018).

About Dr. Thomas Michael Kennedy Md NPPES

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

DR. THOMAS MICHAEL KENNEDY MD (NPI 1215295381) is an individual pediatric emergency medicine provider in New York, New York, licensed in New York (293817) and active in the NPI registry since April 2012. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1215295381
Entity TypeIndividualMale
Primary Taxonomy2080P0204X
Provider Legal NameDR. THOMAS MICHAEL KENNEDYCredential: MD
Location Address3959 BROADWAYNew York, NY 10032-1559
Mailing Address622 W 168th St Ste Hp-104New York, NY 10032-3720 · (212) 305-4541
Sole ProprietorNo
Enumeration DateApril 26, 2012
Last NPPES UpdateMarch 10, 20232 updates tracked since enumeration
NPPES CertifiedMarch 10, 2023
NPI 1215295381 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPediatrics · Pediatric Emergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080P0204X
License Licensed in NY · 293817
Definition
A pediatrician who has special qualifications to manage emergencies in infants and children.
Also ListedPediatricsTaxonomy 208000000X · License C1-0011460 (DE)
3959 BROADWAY, New York, NY 10032

Accepted Insurance

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. Thomas Michael Kennedy Md 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.

Pediatrics
3959 BROADWAY
NEW YORK, NY 10032
Nurse Practitioner (Neonatal)
3959 BROADWAY
NEW YORK, NY 10032
Physician Assistant
3959 BROADWAY
NEW YORK, NY 10032
Student in an Organized Health Care Education/Training Program
3959 BROADWAY
NEW YORK, NY 10032
Pediatrics (Neonatal-Perinatal Medicine)
3959 BROADWAY, COLUMBIA UNIVERSITY DEPARTMENT PEDIATRICS
NEW YORK, NY 10032
Nurse Practitioner (Pediatrics)
3959 BROADWAY
NEW YORK, NY 10032
Pediatrics (Pediatric Gastroenterology)
3959 BROADWAY
NEW YORK, NY 10032
Occupational Therapist
3959 BROADWAY
NEW YORK, NY 10032

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 Thomas Kennedy's NPI number?

The NPI number for Thomas Kennedy is 1215295381. It was assigned to this individual provider in the NPPES registry on April 26, 2012.

Where is Thomas Kennedy located?

Thomas Kennedy practices at 3959 Broadway, New York, NY 10032. The listed phone number is (212) 305-5437.

What is Thomas Kennedy's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Emergency Medicine, with taxonomy code 2080P0204X.

Is Thomas Kennedy enrolled in Medicare?

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

What insurance does Thomas Kennedy accept?

Health plans from AmeriHealth Caritas Next list Thomas 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 Thomas Kennedy was last updated on March 10, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.