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COLLEEN KENNEDY DO PC
NPI 1295933000
Family Medicine in Rochester Hills, MI

Active since July 03, 2007CLIA 23D2063057 · Waiver
75 BARCLAY CIRCLE, SUITE 225, ROCHESTER HILLS, MI 48307(248) 299-1892(248) 299-1396 Get Directions Write a Review

NPPES record last updated: December 16, 2010. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Colleen Kennedy Do Pc NPPES

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

COLLEEN KENNEDY DO PC (NPI 1295933000) is a healthcare organization registered as a family medicine in Rochester Hills, Michigan and active in the NPI registry since July 2007. The organization holds a CLIA Waiver certificate valid through July 24, 2027 and lists Joanne S Goodrich, Billing Supervisor, as its authorized official.

NPPES Registry Identity

NPI1295933000
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameCOLLEEN KENNEDY DO PC
Location Address75 BARCLAY CIRCLE, SUITE 225Rochester Hills, MI 48307-4572
Mailing Address75 Barclay Circle, Suite 225Rochester Hills, MI 48307-4572 · (248) 299-1892 · Fax (248) 299-1396
Phone(248) 299-1892
Fax(248) 299-1396
Organization SubpartNo
Authorized OfficialJoanne S GoodrichBilling Supervisor · (248) 299-1892
Enumeration DateJuly 3, 2007
Last NPPES UpdateDecember 16, 2010
✔ NPI 1295933000 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MI · 5101012334
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.
75 BARCLAY CIRCLE, Rochester Hills, MI 48307
Open in Google Maps ↗

Other Identifiers 2

Medicare UPING58126MI
Medicare ID-Type Unspecified0N22720MI

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Michigan Mutual Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Colleen Kennedy Do Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Colleen Kennedy Do PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Colleen Kennedy, D.O.
Family Practice
NPI 1538140744
75 BARCLAY CIR SUITE 225
Rochester Hills, MI 48307
(248) 299-1892
✔ PECOS✔ Accepts MedicareSame address

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 23D2063057

Colleen Kennedy Do, PC · Rochester, MI
Active · expires Jul 24, 2027
CLIA Number23D2063057
Laboratory TypePhysician Office
Certificate Effective DateJuly 25, 2025
Certificate Expiration DateJuly 24, 2027
Laboratory DirectorColleen Kennedy
Laboratory Phone(248) 299-1892
Laboratory LocationColleen Kennedy Do, PC427 W University Drive, Rochester, MI 48307
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Colleen Kennedy Do PC's NPI number?

The NPI number for Colleen Kennedy Do PC is 1295933000. It was assigned to this organization in the NPPES registry on July 3, 2007.

Where is Colleen Kennedy Do PC located?

Colleen Kennedy Do PC is located at 75 Barclay Circle Suite 225, Rochester Hills, MI 48307. The listed phone number is (248) 299-1892.

What is Colleen Kennedy Do PC's specialty?

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

Is Colleen Kennedy Do PC enrolled in Medicare?

Yes. Colleen Kennedy Do PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Colleen Kennedy Do PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Colleen Kennedy Do PC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Colleen Kennedy Do PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 23D2063057) is associated with this NPI, valid through July 24, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Colleen Kennedy Do PC accept?

Health plans from Blue Cross Blue Shield of Michigan Mutual Insurance Company list Colleen Kennedy Do PC 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.

When was this NPI record last updated?

The NPPES record for Colleen Kennedy Do PC was last updated on December 16, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.