Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DOROTHY XUANXIAN KENNY
NPI 1407559263
Internal Medicine in Sacramento, CA

Active since March 22, 2023PECOS Enrolled
4150 V ST # 1100, SACRAMENTO, CA 95817(916) 734-2737 Get Directions Write a Review

NPPES record last updated: October 30, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Oct 30, 2026, Apr 6, 2026, Mar 22, 2023 (3 updates tracked since 2023).

About Dorothy Xuanxian Kenny NPPES

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

DOROTHY XUANXIAN KENNY (NPI 1407559263) is an individual internal medicine provider in Sacramento, California, licensed in California (A197343) and active in the NPI registry since March 2023. She is enrolled in Medicare PECOS and is a graduate of Creighton University School Of Medicine (2023).

NPPES Registry Identity

NPI1407559263
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDOROTHY XUANXIAN KENNY
Location Address4150 V ST # 1100Sacramento, CA 95817-1460
Mailing Address4150 V St # 1100Sacramento, CA 95817-1460 · (916) 734-2737
Sole ProprietorYes
Medical School CMSCreighton University School Of MedicineGraduated 2023
Enumeration DateMarch 22, 2023
Last NPPES UpdateOctober 30, 20263 updates tracked since enumeration
NPPES CertifiedOctober 30, 2026
✔ NPI 1407559263 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in CA · A197343
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
4150 V ST # 1100, Sacramento, CA 95817

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dorothy Xuanxian Kenny is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4385080720
PECOS Enrollment IDI20260715002969
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 Dorothy Kenny reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Clinical Child & Adolescent
2825 50TH ST
Sacramento, CA 95817
  • Reassigned Medicare billing, California enrollment
  • 2,570 clinicians in this Medicare group

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95817 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
$137.20 typical visit price
range $60.44 – $180.85
Typical copayment $34.30 (range $15.11 – $45.21)
Most-billed visit code 99204
Established Patient
$105.95 typical visit price
range $19.88 – $148.15
Typical copayment $26.48 (range $4.97 – $37.03)
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 20

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

Internal Medicine
4150 V ST # 1100
SACRAMENTO, CA 95817
Student in an Organized Health Care Education/Training Program
4150 V ST # 1100
SACRAMENTO, CA 95817
Student in an Organized Health Care Education/Training Program
4150 V ST # 1100
SACRAMENTO, CA 95817
Internal Medicine
4150 V ST # 1100
SACRAMENTO, CA 95817
Internal Medicine
4150 V ST # 1100
SACRAMENTO, CA 95817
Student in an Organized Health Care Education/Training Program
4150 V ST # 1100
SACRAMENTO, CA 95817
Internal Medicine (Gastroenterology)
4150 V ST # 1100
SACRAMENTO, CA 95817
Internal Medicine (Rheumatology)
4150 V ST # 1100
SACRAMENTO, CA 95817

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 Dorothy Kenny's NPI number?

The NPI number for Dorothy Kenny is 1407559263. It was assigned to this individual provider in the NPPES registry on March 22, 2023.

Where is Dorothy Kenny located?

Dorothy Kenny practices at 4150 V St # 1100, Sacramento, CA 95817. The listed phone number is (916) 734-2737.

What is Dorothy Kenny's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Dorothy Kenny enrolled in Medicare?

Yes. Dorothy Kenny is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Dorothy Kenny's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Dorothy Kenny reassigns Medicare benefits to Regents Of The Univ Of Ca (Sacramento, CA). 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 Dorothy Kenny's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Dorothy Kenny was last updated on October 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 days 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.