1. Home
  2. Directory
  3. Michigan
  4. Rochester Hills
  5. Physician Assistant
  6. NPI Profile

KENNEDY KRISTINE BASHIR IWAS PA-C
NPI 1407629587
Physician Assistant in Rochester Hills, MI

Active since November 01, 2023PECOS EnrolledAccepts Medicare Assignment
2177 WENTWORTH DR, ROCHESTER HILLS, MI 48307(248) 979-1695 Get Directions Write a Review

NPPES record last updated: January 15, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jan 15, 2026, Nov 1, 2023 (2 updates tracked since 2023).

About Kennedy Kristine Bashir Iwas Pa-c NPPES

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

KENNEDY KRISTINE BASHIR IWAS PA-C (NPI 1407629587) is an individual physician assistant in Rochester Hills, Michigan, licensed in Michigan (5601013758) and active in the NPI registry since November 2023. She is enrolled in Medicare PECOS, is affiliated with Hurley Medical Center, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1407629587
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKENNEDY KRISTINE BASHIR IWASCredential: PA-C
Location Address2177 WENTWORTH DRRochester Hills, MI 48307-4283
Mailing Address2177 Wentworth DrRochester Hills, MI 48307-4283 · (248) 979-1695
Phone(248) 979-1695
Sole ProprietorYes
Medical School CMSOtherGraduated 2025
Enumeration DateNovember 1, 2023
Last NPPES UpdateJanuary 15, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 15, 2026
✔ NPI 1407629587 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in MI · 5601013758
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
2177 WENTWORTH DR, Rochester Hills, MI 48307
Open in Google Maps ↗

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

Kennedy Kristine Bashir Iwas Pa-c 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 ID9335617331
PECOS Enrollment IDI20260507003788
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.

Hospital Affiliations CMS Care Compare

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

Hurley Medical Center

Acute Care Hospitals · Flint, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number230132
LocationOne Hurley PlazaFlint, MI 48503 · Genesee County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48307 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
$90.76 typical visit price
range $58.04 – $177.36
Typical copayment $22.69 (range $14.51 – $44.34)
Most-billed visit code 99203
Established Patient
$72.38 typical visit price
range $18.32 – $143.49
Typical copayment $18.09 (range $4.58 – $35.87)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Kennedy Iwas's NPI number?

The NPI number for Kennedy Iwas is 1407629587. It was assigned to this individual provider in the NPPES registry on November 1, 2023.

Where is Kennedy Iwas located?

Kennedy Iwas practices at 2177 Wentworth Dr, Rochester Hills, MI 48307. The listed phone number is (248) 979-1695.

What is Kennedy Iwas's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Kennedy Iwas enrolled in Medicare?

Yes. Kennedy Iwas 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.

Is Kennedy Iwas affiliated with any hospitals?

According to CMS data, Kennedy Iwas is affiliated with Hurley Medical Center.

When was this NPI record last updated?

The NPPES record for Kennedy Iwas was last updated on January 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.