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DR. NICHOLAS IUNG KENNEDY MD
NPI 1285058545
Orthopaedic Surgery - Sports Medicine in Yakima, WA

Active since February 06, 2014PECOS EnrolledAccepts Medicare Assignment
111 S 11TH AVE, YAKIMA, WA 98902(509) 454-8888(509) 453-0061 Get Directions Write a Review

NPPES record last updated: April 29, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 5, 2023, Aug 25, 2020, Jul 18, 2018 and 2 more (5 updates tracked since 2017).

About Dr. Nicholas Iung Kennedy Md NPPES

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

DR. NICHOLAS IUNG KENNEDY MD (NPI 1285058545) is an individual sports medicine provider in Yakima, Washington, licensed in Washington (MD61373829) and active in the NPI registry since February 2014. He is enrolled in Medicare PECOS, is affiliated with Yakima Valley Memorial, and is a graduate of Oregon Health Sciences University School Of Medicine (2017).

NPPES Registry Identity

NPI1285058545
Entity TypeIndividualMale
Primary Taxonomy207XX0005X
Provider Legal NameDR. NICHOLAS IUNG KENNEDYCredential: MD
Location Address111 S 11TH AVEYakima, WA 98902-3242
Mailing AddressPo Box 5299, Ms: 820-5-pcoTacoma, WA 98415-0299
Phone(509) 454-8888
Fax(509) 453-0061
Sole ProprietorNo
Medical School CMSOregon Health Sciences University School Of MedicineGraduated 2017
Enumeration DateFebruary 6, 2014
Last NPPES UpdateApril 29, 20255 updates tracked since enumeration
NPPES CertifiedApril 29, 2025
✔ NPI 1285058545 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOrthopaedic Surgery · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207XX0005X
License✔ Licensed in WA · MD61373829
Definition
An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.
Also ListedOrthopaedic SurgeryTaxonomy 207X00000X · License 64238 (MN)
111 S 11TH AVE, Yakima, WA 98902
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Nicholas Iung Kennedy Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8224300421
PECOS Enrollment IDI20230810004505
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.

Areas of Expertise CMS Part B claims 11

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
154 services99 patients
Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
139 services32 patients
X-ray of knee, 3 views 73562
An X-ray of the knee, 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the knee from three different angles. This helps medical professionals to diagnose and monitor conditions like arthritis, fractures, or infections. The process is quick and painless.
64 services34 patients
X-ray of lower leg, 2 views 73590
An X-ray of the lower leg, 2 views, is a quick, painless test that produces images of the bones in your lower leg. It helps to identify fractures, infections, or diseases. Two different angles are used to provide a comprehensive view of the leg's structure.
61 services31 patients
X-ray of thigh bone, 1 view 73551
An X-ray of the thigh bone, 1 view, is a quick, painless procedure that uses a small amount of radiation to create images of the inside of your thigh. It helps doctors to diagnose and monitor conditions like fractures, infections, or tumors.
59 services30 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
56 services56 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Yakima Valley Memorial

Acute Care Hospitals · Yakima, WA
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number500036
Location2811 Tieton DriveYakima, WA 98902 · Yakima County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 13

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

MICHELLE K SMEBACK ARNP
Nurse Practitioner
111 S 11TH AVE, SUITE 201
YAKIMA, WA 98902
Yakima County (509) 454-6545
YAKIMA AMBULATORY SURGICAL CENTER
Clinic/Center (Ambulatory Surgical)
111 S 11TH AVE, STE 220
YAKIMA, WA 98902
Yakima County (509) 575-5577
YAKIMA HMA PHYSICIAN MANAGEMENT, LLC
Dietitian, Registered
111 S 11TH AVE, STE 321
YAKIMA, WA 98902
Yakima County (509) 577-4600
YAKIMA SURGICAL ASSOCIATES, PLLC
Clinic/Center (Multi-Specialty)
111 S 11TH AVE, SUITE 223
YAKIMA, WA 98902
Yakima County (509) 248-6080
MARY F. NEWMAN M.D.
Anesthesiology
111 S 11TH AVE, SUITE 220
YAKIMA, WA 98902
Yakima County (509) 575-5577
KIMBERLY RAE ABELLA-CREE PA-C
Physician Assistant
111 S 11TH AVE, SUITE 120
YAKIMA, WA 98902
Yakima County (509) 574-4433
JOHN K BOUCHER MD
Surgery
111 S 11TH AVE, SUITE 223
YAKIMA, WA 98902
Yakima County (509) 248-6080
ADRIANA SLOBODOVA MD
Internal Medicine (Clinical Cardiac Electrophysiology)
111 S 11TH AVE, SUITE 203
YAKIMA, WA 98902
Yakima County (509) 574-4433

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 Nicholas Kennedy's NPI number?

The NPI number for Nicholas Kennedy is 1285058545. It was assigned to this individual provider in the NPPES registry on February 6, 2014.

Where is Nicholas Kennedy located?

Nicholas Kennedy practices at 111 S 11th Ave, Yakima, WA 98902. The listed phone number is (509) 454-8888.

What is Nicholas Kennedy's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Sports Medicine, with taxonomy code 207XX0005X.

Is Nicholas Kennedy enrolled in Medicare?

Yes. Nicholas Kennedy is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Nicholas Kennedy accept?

Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Nicholas 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.

Is Nicholas Kennedy affiliated with any hospitals?

According to CMS data, Nicholas Kennedy is affiliated with Yakima Valley Memorial.

When was this NPI record last updated?

The NPPES record for Nicholas Kennedy was last updated on April 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.