DR. KATHERINE EDITHE KENNEDY DPM
NPI 1316290893
Podiatrist - Foot & Ankle Surgery in Phoenix, AZ

Active since October 20, 2012PECOS EnrolledAccepts Medicare Assignment
1728 W GLENDALE AVE STE 100, PHOENIX, AZ 85021(480) 812-3668(480) 782-1290 Get Directions Write a Review

NPPES record last updated: September 12, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Katherine Edithe Kennedy Dpm NPPES

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

DR. KATHERINE EDITHE KENNEDY DPM (NPI 1316290893) is an individual foot & ankle surgery provider in Phoenix, Arizona, licensed in Arizona (0818) and active in the NPI registry since October 2012. She is enrolled in Medicare PECOS, maintains a secondary practice location in Chicago, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1316290893
Entity TypeIndividualFemale
Primary Taxonomy213ES0103X
Provider Legal NameDR. KATHERINE EDITHE KENNEDYCredential: DPM
Location Address1728 W GLENDALE AVE STE 100Phoenix, AZ 85021-8862
Mailing Address1728 W Glendale Ave Ste 100Phoenix, AZ 85021-8862 · (480) 812-3668 · Fax (480) 782-1290
Fax(480) 782-1290
Sole ProprietorYes
Medical School CMSOtherGraduated 2012
Enumeration DateOctober 20, 2012
Last NPPES UpdateSeptember 12, 2019
NPI 1316290893 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
Licenses Licensed in AZ · 0818 Licensed in IL · 135.000790
1728 W GLENDALE AVE STE 100, Phoenix, AZ 85021

Secondary Practice Location 1

Location 12222 W Division StChicago, IL 60622-2717 · Phone (312) 770-3801

Other Identifiers 1

MedicaidZ179475AZ

Accepted 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. Katherine Edithe Kennedy Dpm 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 ID42526006
PECOS Enrollment IDI20150904002386
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 16

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.

Removal of fingernails or toenails, 6 or more nails 11721
This procedure involves the removal of six or more fingernails or toenails. It's typically done to treat severe nail infections, persistent pain, or abnormal nail growth. Local anesthesia is used to minimize discomfort. Healing usually takes a few weeks.
219 services85 patients
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.
199 services99 patients
X-ray of foot, minimum of 3 views 73630
An X-ray of the foot, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones and tissues in your foot. This helps to identify fractures, infections, or other abnormalities. Multiple views ensure a comprehensive examination.
134 services65 patients
Ultrasound study of arm and leg arteries 93922
An ultrasound study of arm and leg arteries is a non-invasive procedure that uses sound waves to create images of your arteries. It helps in checking blood flow, identifying blockages, or detecting other abnormalities in your arteries.
76 services67 patients
Testing of autonomic (sympathetic) nervous system function 95923
Testing of autonomic nervous system function assesses how well your body's automatic processes, like heart rate and blood pressure, are working. It involves various non-invasive tests like heart rate variability and sweat production tests.
75 services66 patients
Removal of noncancer thickened skin growth, 2-4 growths 11056
This procedure involves the safe removal of 2-4 noncancerous thickened skin growths. It's typically done under local anesthesia. The process helps to alleviate discomfort and prevent potential complications. It's a standard, low-risk procedure.
74 services26 patients

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Ankle orthosis, supramalleolar with straps, with or without interface/pads, custom fabricated L1907
DME-Orthotic Devices · category DF003N
1 supplier22 claims42 services$455.97 avg. paid by Medicare
Addition to lower extremity, lacer molded to patient model, for custom fabricated orthosis only L2330
DME-Orthotic Devices · category DF000N
1 supplier23 claims45 services$402.34 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 2

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

Nurse Practitioner (Family)
1728 W GLENDALE AVE STE 100
PHOENIX, AZ 85021
Family Medicine
1728 W GLENDALE AVE STE 100
PHOENIX, AZ 85021

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 Katherine Kennedy's NPI number?

The NPI number for Katherine Kennedy is 1316290893. It was assigned to this individual provider in the NPPES registry on October 20, 2012.

Where is Katherine Kennedy located?

Katherine Kennedy practices at 1728 W Glendale Ave Ste 100, Phoenix, AZ 85021. The listed phone number is (480) 812-3668.

What is Katherine Kennedy's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Is Katherine Kennedy enrolled in Medicare?

Yes. Katherine 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 Katherine Kennedy accept?

Health plans from Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona and UnitedHealthcare list Katherine 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.

When was this NPI record last updated?

The NPPES record for Katherine Kennedy was last updated on September 12, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.