AIDAN KENNEDY MD
NPI 1225767916
Student in an Organized Health Care Education/Training Program in Royal Oak, MI

Q: What is Aidan Kennedy's NPI number?

The NPI number for Aidan Kennedy is 1225767916. It was assigned to this individual provider in the NPPES registry on June 8, 2022.

Q: What is Aidan Kennedy's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Aidan Kennedy was last updated on June 26, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since June 08, 2022PECOS Enrolled

3601 W 13 MILE RD, ROYAL OAK, MI 48073(248) 898-5000 Get Directions Write a Review

NPPES record last updated: June 26, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Aidan Kennedy Md NPPES

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

AIDAN KENNEDY MD (NPI 1225767916) is an individual student in an organized health care education/training program in Royal Oak, Michigan, licensed in Michigan (4351049085) and active in the NPI registry since June 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1225767916

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameAIDAN KENNEDYCredential: MD

Location Address3601 W 13 MILE RDRoyal Oak, MI 48073-5000

Mailing Address3601 W 13 Mile RdRoyal Oak, MI 48073 · (248) 898-5000

Phone(248) 898-5000

Sole ProprietorNo

Enumeration DateJune 8, 2022

Last NPPES UpdateJune 26, 2023

NPPES CertifiedJune 26, 2023

✔ NPI 1225767916 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

License✔ Licensed in MI · 4351049085

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

3601 W 13 MILE RD, Royal Oak, MI 48073

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Aidan 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.