DR. BOBBY JOE KENNEDY DO
NPI 1487766937
Dermatology in Austin, TX
About Dr. Bobby Joe Kennedy Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. BOBBY JOE KENNEDY DO (NPI 1487766937) is an individual dermatology provider in Austin, Texas, licensed in Texas (E6115) and active in the NPI registry since August 2006. He has opted out of Medicare through January 1, 2028 and remains eligible to order and refer.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 9
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Dr. Bobby Joe Kennedy Do has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 1, 2016 through January 1, 2028.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 78731 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
AUSTIN, TX 78731
AUSTIN, TX 78731
AUSTIN, TX 78731
AUSTIN, TX 78731
AUSTIN, TX 78731
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 Bobby Kennedy's NPI number?
The NPI number for Bobby Kennedy is 1487766937. It was assigned to this individual provider in the NPPES registry on August 31, 2006.
Where is Bobby Kennedy located?
Bobby Kennedy practices at 6811 Austin Center Blvd #300, Austin, TX 78731. The listed phone number is (512) 346-8888.
What is Bobby Kennedy's specialty?
The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.
Is Bobby Kennedy enrolled in Medicare?
No. Bobby Kennedy has opted out of Medicare through January 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.
When was this NPI record last updated?
The NPPES record for Bobby Kennedy was last updated on March 2, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.
# Dr. Bobby Joe Kennedy, DO · NPI 1487766937
Dermatology physician in Austin, Texas. Individual provider, active in the CMS NPPES registry since August 31, 2006.
## Identity
- **NPI:** 1487766937 (Entity type: Individual)
- **Enumerated:** August 31, 2006
- **Primary specialty:** Dermatology · taxonomy 207N00000X
- **State license:** E6115 (Texas)
- **Sole proprietor:** No
## Practice location
- **Address:** 6811 AUSTIN CENTER BLVD, #300, Austin, TX 78731-3146
- **Phone:** (512) 346-8888 · **Fax:** (512) 344-0312
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through January 1, 2028); services are provided under private contract
## Record status
- **NPPES last updated:** March 2, 2012
- **Other identifiers:** Other CZ49 (TX); Medicaid CZ49 (TX); Medicaid 097806604 (TX); and 6 more
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Source: [NPI Profile](https://npiprofile.com/npi/1487766937) · Data from the CMS NPPES public registry.