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

Q: 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.

Q: What is Katherine Kennedy's specialty?

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

Q: 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 7 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.

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: October 18, 2026.

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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

Phone(480) 812-3668

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

Open in Google Maps ↗

Secondary Practice Location 1

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

Other Identifiers 1

MedicaidZ179475AZ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter Health, Blue Cross Blue Shield of Arizona and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

Medicare enrollment records show Katherine Kennedy reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Foot Ankle Specialty Centers, LLC

24 mi

Foot & Ankle Surgery

4915 E BASELINE ROAD, BLDG 8, SUITE 121
Gilbert, AZ 85234

Reassigned Medicare billing, Arizona enrollment
9 clinicians in this Medicare group

NPI 1679603724 (480) 812-3668

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

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

Cast supplies, short leg cast, adult (11 years +), fiberglass Q4038

A short leg cast, made of fiberglass, is used for adults and children aged 11 and up. It's a supportive structure for the lower leg, often used when a bone is broken. The fiberglass material is lightweight, durable, and can be molded to fit your leg comfortably.

46 services24 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.

44 services44 patients

Limited ultrasound scan of joint or other extremity structure except blood vessels 76882

A limited ultrasound scan of a joint or other extremity structure lacking blood vessels is a non-invasive procedure that uses sound waves to create images of the inside of your body. This helps in diagnosing and monitoring conditions related to your joints or other similar structures.

40 services25 patients

Biopsy of fingernail or toenail 11755

A biopsy of a fingernail or toenail is a medical procedure where a small piece of your nail or the tissue under it is removed for testing. This can help diagnose conditions like infections or skin diseases. The area is numbed for your comfort during the process.

29 services17 patients

Aspiration and/or injection of fluid from small joint 20600

This procedure involves inserting a thin needle into a small joint to remove (aspirate) or inject fluid. It can help diagnose conditions, relieve discomfort, or administer medication directly into the joint. It's generally safe with minimal discomfort.

29 services13 patients

X-ray of ankle, minimum of 3 views 73610

An ankle X-ray is a quick, painless imaging test. It involves capturing at least three different images or 'views' of your ankle using small amounts of radiation. These images help identify any abnormalities or injuries, such as fractures or arthritis.

28 services16 patients

X-ray of foot, 2 views 73620

An X-ray of the foot, 2 views, is a quick, painless test that produces images of the bones and structures inside your foot. Two different angles are used to provide a comprehensive view. This helps doctors diagnose fractures, infections, or other abnormalities.

22 services13 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

22 services21 patients

Injection into tendon or ligament 20550

An injection into a tendon or ligament involves placing medication directly into these areas to help reduce inflammation and pain. It's often used for conditions like arthritis or tendonitis. The procedure is quick and usually involves a local anesthetic.

18 services13 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

12 services12 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

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

UMBRELLA MEDICAL LLC

Family Medicine

1728 W GLENDALE AVE STE 100
PHOENIX, AZ 85021

Maricopa County (623) 299-8251

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.

Which organization bills Medicare for Katherine Kennedy's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Katherine Kennedy reassigns Medicare benefits to Foot Ankle Specialty Centers, LLC (Gilbert, AZ). The 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 Katherine Kennedy's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Katherine Kennedy accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona, Cigna HealthCare of Arizona, Inc 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 7 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.