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KENNETH RUSSELL KENNEDY MD
NPI 1235225517
Family Medicine in Houston, TX

Active since October 05, 2006PECOS Enrolled
1221 MCKINNEY ST, HOUSTON, TX 77010(713) 442-4700 Get Directions Write a Review

NPPES record last updated: June 9, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 9, 2021, Apr 15, 2021, Jan 6, 2017 (3 updates tracked since 2017).

About Kenneth Russell Kennedy Md NPPES

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

KENNETH RUSSELL KENNEDY MD (NPI 1235225517) is an individual family medicine provider in Houston, Texas, licensed in Texas (H2504) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1235225517
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameKENNETH RUSSELL KENNEDYCredential: MD
Location Address1221 MCKINNEY STHouston, TX 77010-2011
Mailing Address11511 Shadow Creek PkwyPearland, TX 77584-7298 · (713) 442-0000
Phone(713) 442-4700
Sole ProprietorNo
Enumeration DateOctober 5, 2006
Last NPPES UpdateJune 9, 20213 updates tracked since enumeration
NPPES CertifiedJune 9, 2021
✔ NPI 1235225517 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in TX · H2504
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1221 MCKINNEY ST, Houston, TX 77010
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Other Identifiers 1

Medicaid104745801TX

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kenneth Russell 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77010 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
$90.40 typical visit price
range $58.24 – $176.98
Typical copayment $22.60 (range $14.56 – $44.24)
Most-billed visit code 99203
Established Patient
$102.71 typical visit price
range $18.60 – $143.93
Typical copayment $25.67 (range $4.65 – $35.98)
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

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

FOUR HANDS SURGICAL ASSISTANT CO.
Preferred Provider Organization
1221 MCKINNEY ST
HOUSTON, TX 77010
Harris County (713) 442-4700

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 Kennedy's NPI number?

The NPI number for Kenneth Kennedy is 1235225517. It was assigned to this individual provider in the NPPES registry on October 5, 2006.

Where is Kenneth Kennedy located?

Kenneth Kennedy practices at 1221 Mckinney St, Houston, TX 77010. The listed phone number is (713) 442-4700.

What is Kenneth Kennedy's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Kenneth Kennedy enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Kenneth Kennedy was last updated on June 9, 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.