KENNETH WALTER MCKINLEY M.D.
NPI 1457610875
Pediatrics - Pediatric Emergency Medicine in Washington, DC
About Kenneth Walter Mckinley M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KENNETH WALTER MCKINLEY M.D. (NPI 1457610875) is an individual pediatric emergency medicine provider in Washington, District Of Columbia, licensed in District Of Columbia (MD046009) and active in the NPI registry since May 2012. He is enrolled in Medicare PECOS and maintains a secondary practice location in New York.
NPPES Registry Identity
Specialties & Licenses 3
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kenneth Walter Mckinley M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Kenneth Mckinley reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Washington, DC 20010
- Reassigned Medicare billing, District of Columbia enrollment
- 1,417 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.
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.
WASHINGTON, DC 20010
WASHINGTON, DC 20010
WASHINGTON, DC 20010
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 Kenneth Mckinley's NPI number?
The NPI number for Kenneth Mckinley is 1457610875. It was assigned to this individual provider in the NPPES registry on May 4, 2012.
Where is Kenneth Mckinley located?
Kenneth Mckinley practices at 111 Michigan Ave NW, Washington, DC 20010. The listed phone number is (202) 476-4177.
What is Kenneth Mckinley's specialty?
The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Emergency Medicine, with taxonomy code 2080P0204X.
Is Kenneth Mckinley enrolled in Medicare?
Yes. Kenneth Mckinley is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Kenneth Mckinley's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kenneth Mckinley reassigns Medicare benefits to Children's Hospital (Washington, DC). 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 Kenneth Mckinley'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 Kenneth Mckinley was last updated on September 14, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Kenneth Walter Mckinley, M.D. · NPI 1457610875
Pediatric Emergency Medicine physician in Washington, District of Columbia. Individual provider, active in the CMS NPPES registry since May 4, 2012.
## Identity
- **NPI:** 1457610875 (Entity type: Individual)
- **Enumerated:** May 4, 2012
- **Primary specialty:** Pediatrics - Pediatric Emergency Medicine · taxonomy 2080P0204X
- **State license:** MD046009 (District of Columbia)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 111 MICHIGAN AVE NW, Washington, DC 20010
- **Phone:** (202) 476-4177
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Children's Hospital (NPI 1780800128, Washington, DC), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 14, 2018
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Source: [NPI Profile](https://npiprofile.com/npi/1457610875) · Data from the CMS NPPES public registry.