KENNETH WALTER MCKINLEY M.D.
NPI 1457610875
Pediatrics - Pediatric Emergency Medicine in Washington, DC

Q: 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.

Q: What is Kenneth Mckinley's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Emergency Medicine, with taxonomy code 2080P0204X.

Q: 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 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 May 04, 2012PECOS Enrolled

111 MICHIGAN AVE NW, WASHINGTON, DC 20010(202) 476-4177 Get Directions Write a Review

NPPES record last updated: September 14, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 14, 2018, Aug 17, 2017 (2 updates tracked since 2017).

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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

NPI1457610875

Entity TypeIndividualMale

Primary Taxonomy2080P0204X

Provider Legal NameKENNETH WALTER MCKINLEYCredential: M.D.

Location Address111 MICHIGAN AVE NWWashington, DC 20010

Mailing Address337 Webster St NwWashington, DC 20011-7328 · (570) 594-5606

Phone(202) 476-4177

Sole ProprietorYes

Enumeration DateMay 4, 2012

Last NPPES UpdateSeptember 14, 20182 updates tracked since enumeration

✔ NPI 1457610875 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPediatrics · Pediatric Emergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080P0204X

License✔ Licensed in DC · MD046009

Definition

A pediatrician who has special qualifications to manage emergencies in infants and children.

Also ListedEmergency MedicineTaxonomy 207P00000X · License 57008 (CT)

Also ListedPediatricsTaxonomy 208000000X · License 57008 (CT)

111 MICHIGAN AVE NW, Washington, DC 20010

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Secondary Practice Location 1

Location 13959 BroadwayNew York, NY 10032-1559 · Phone (212) 305-9825

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kenneth Walter Mckinley M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

DR. ANDREA BADILLO MD

Surgery

111 MICHIGAN AVE NW
WASHINGTON, DC 20010

District of Columbia (202) 476-2451

DR. TALITA MICHELLE JORDAN MD

Pediatrics

111 MICHIGAN AVE NW
WASHINGTON, DC 20010

District of Columbia (202) 476-5000

YUE-HIN LOKE MD

Pediatrics (Pediatric Cardiology)

111 MICHIGAN AVE NW, W3.5, 600
WASHINGTON, DC 20010

District of Columbia (202) 476-3670

ELSHADEY YAYEHYERADE BEKELE

Pediatrics

111 MICHIGAN AVE NW
WASHINGTON, DC 20010

District of Columbia (301) 565-4279

NOURA AL DHAHERI MD

Student in an Organized Health Care Education/Training Program

111 MICHIGAN AVE NW, W3.5, 600
WASHINGTON, DC 20010

District of Columbia (202) 476-3670

JIA LIU MD

Anesthesiology (Pediatric Anesthesiology)

111 MICHIGAN AVE NW
WASHINGTON, DC 20010

District of Columbia (202) 476-5000

DR. CHARLES JOHN BILLINGTON JR. MD

Medical Genetics (Clinical Genetics (M.D.))

111 MICHIGAN AVE NW, W3.5, 600
WASHINGTON, DC 20010

District of Columbia (202) 476-3670

GINA JIN LEE PHARMD

Pharmacist (Pharmacotherapy)

111 MICHIGAN AVE NW
WASHINGTON, DC 20010

District of Columbia (202) 476-4080

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.

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 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.