DR. MICHAEL M KENNELLY M.D.
NPI 1215996459
Surgery in Burien, WA

Q: What is Michael Kennelly's NPI number?

The NPI number for Michael Kennelly is 1215996459. It was assigned to this individual provider in the NPPES registry on March 17, 2006.

Q: What is Michael Kennelly's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Q: When was this NPI record last updated?

The NPPES record for Michael Kennelly was last updated on December 4, 2020. 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 17, 2006PECOS Enrolled

16233 SYLVESTER RD SW STE 110, BURIEN, WA 98166(206) 901-8980 Get Directions Write a Review

NPPES record last updated: December 4, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 4, 2020, Sep 4, 2020 (2 updates tracked since 2020).

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About Dr. Michael M Kennelly M.d. NPPES

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

DR. MICHAEL M KENNELLY M.D. (NPI 1215996459) is an individual surgery provider in Burien, Washington, licensed in Washington (MD00021678) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1215996459

Entity TypeIndividualMale

Primary Taxonomy208600000X

Provider Legal NameDR. MICHAEL M KENNELLYCredential: M.D.

Location Address16233 SYLVESTER RD SW STE 110Burien, WA 98166-3044

Mailing Address16233 Sylvester Rd Sw Ste 110Burien, WA 98166-3044 · (206) 901-8980

Phone(206) 901-8980

Sole ProprietorNo

Enumeration DateMarch 17, 2006

Last NPPES UpdateDecember 4, 20202 updates tracked since enumeration

NPPES CertifiedDecember 4, 2020

✔ NPI 1215996459 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

License✔ Licensed in WA · MD00021678

Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

16233 SYLVESTER RD SW STE 110, Burien, WA 98166

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Secondary Practice Locations 2

Location 116233 Sylvester Rd SW Ste 110Burien, WA 98166-3044 · Phone (206) 901-8980 · Fax (206) 901-8981

Location 216122 8th Ave SW, Suite D-1Burien, WA 98166-2967 · Phone (206) 244-1680 · Fax (206) 243-8845

Other Identifiers 1

Medicaid1005224WA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Michael M Kennelly 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 Michael Kennelly reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Proliance Surgeons, Inc., P.S.

0.1 mi

Otolaryngology

16259 SYLVESTER RD SW STE 504
Burien, WA 98166

Reassigned Medicare billing, Washington enrollment
589 clinicians in this Medicare group

NPI 1114108784 (206) 242-3696

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 98166 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

$97.43 typical visit price

range $63.67 – $189.37

Typical copayment $24.35 (range $15.91 – $47.34)

Most-billed visit code 99203

Established Patient

$78.74 typical visit price

range $21.12 – $155.00

Typical copayment $19.68 (range $5.28 – $38.75)

Most-billed visit code 99213

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 8

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

JULIA CAROLYN PARKER DNP, ARNP, BSN, OCN

Nurse Practitioner (Acute Care)