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DR. KENNETH LEONARD TODD III M.D., FACPH, RPVI
NPI 1215913025
Specialist in Dothan, AL

Active since December 22, 2005PECOS Enrolled
3280 ROSS CLARK CIR, DOTHAN, AL 36303(334) 678-9494(334) 678-8878 Get Directions Write a Review

NPPES record last updated: February 15, 2012. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Kenneth Leonard Todd Iii M.d., Facph, Rpvi NPPES

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

DR. KENNETH LEONARD TODD III M.D., FACPH, RPVI (NPI 1215913025) is an individual specialist in Dothan, Alabama, licensed in Alabama (15348) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1215913025
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameDR. KENNETH LEONARD TODD IIICredential: M.D., FACPH, RPVI
Location Address3280 ROSS CLARK CIRDothan, AL 36303-3040
Mailing Address3280 Ross Clark CirDothan, AL 36303-3040 · (334) 678-9494 · Fax (334) 678-8878
Phone(334) 678-9494
Fax(334) 678-8878
Sole ProprietorYes
Enumeration DateDecember 22, 2005
Last NPPES UpdateFebruary 15, 2012
✔ NPI 1215913025 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in AL · 15348
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
3280 ROSS CLARK CIR, Dothan, AL 36303
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Other Identifiers 5

Medicare ID-Type Unspecified000077969AL
Other631193582AL · Ein For Commercial Ins
Other51077969AL · Bluecross Blueshield Id#
Other04-01952AL · United Healthcare Id#
Medicare UPINE47822AL

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Kenneth Leonard Todd Iii M.d., Facph, Rpvi 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 Kenneth Todd reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Center For Vein Restoration Al LLC
Same address
Vascular Surgery
3280 ROSS CLARK CIR
Dothan, AL 36303
  • Reassigned Medicare billing, Alabama enrollment
  • 19 clinicians in this Medicare group
NPI 1164897427 (855) 830-8346

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

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CENTER FOR VEIN RESTORATION AL LLC
Surgery (Vascular Surgery)
3280 ROSS CLARK CIR
DOTHAN, AL 36303
Houston County (855) 830-8346
SOUTHEAST VEIN & LASER CENTER, P.C.
Specialist
3280 ROSS CLARK CIR
DOTHAN, AL 36303
Houston County (334) 678-9494
CENTER FOR VASCULAR MEDICINE AL LLC
Surgery (Vascular Surgery)
3280 ROSS CLARK CIR
DOTHAN, AL 36303
Houston County (301) 486-4690
ANNA KATHRYN PARKINSON FNP-C
Nurse Practitioner (Family)
3280 ROSS CLARK CIR
DOTHAN, AL 36303
Houston County (800) 349-5347

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 Kenneth Todd's NPI number?

The NPI number for Kenneth Todd is 1215913025. It was assigned to this individual provider in the NPPES registry on December 22, 2005.

Where is Kenneth Todd located?

Kenneth Todd practices at 3280 Ross Clark Cir, Dothan, AL 36303. The listed phone number is (334) 678-9494.

What is Kenneth Todd's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Kenneth Todd enrolled in Medicare?

Yes. Kenneth Todd is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kenneth Todd's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kenneth Todd reassigns Medicare benefits to Center For Vein Restoration Al LLC (Dothan, AL). 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 Kenneth Todd's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Kenneth Todd was last updated on February 15, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.