Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

KEVIN J ENNIS M.D.
NPI 1508804725
Internal Medicine - Geriatric Medicine in Danvers, MA

Active since June 02, 2006
75 LINDALL STREET, CENTER FOR HEALTHY AGING, DANVERS, MA 01923(978) 774-4400 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kevin J Ennis M.d. NPPES

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

KEVIN J ENNIS M.D. (NPI 1508804725) is an individual geriatric medicine provider in Danvers, Massachusetts, licensed in Massachusetts (225012) and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1508804725
Entity TypeIndividualMale
Primary Taxonomy207RG0300X
Provider Legal NameKEVIN J ENNISCredential: M.D.
Location Address75 LINDALL STREET, CENTER FOR HEALTHY AGINGDanvers, MA 01923
Mailing Address75 Lindall Street, Center For Healthy AgingDanvers, MA 01923 · (978) 774-4400
Sole ProprietorNo
Enumeration DateJune 2, 2006
Last NPPES UpdateJuly 13, 2026
NPI 1508804725 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RG0300X
License Licensed in MA · 225012
Definition

An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.

75 LINDALL STREET, Danvers, MA 01923

Other Providers at the Same Location NPPES

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

Anesthesiology
75 LINDALL STREET, HUNT CENTER
DANVERS, MA 01923

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 Kevin Ennis's NPI number?

The NPI number for Kevin Ennis is 1508804725. It was assigned to this individual provider in the NPPES registry on June 2, 2006.

Where is Kevin Ennis located?

Kevin Ennis practices at 75 Lindall Street Center For Healthy Aging, Danvers, MA 01923. The listed phone number is (978) 774-4400.

What is Kevin Ennis's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Geriatric Medicine, with taxonomy code 207RG0300X.

When was this NPI record last updated?

The NPPES record for Kevin Ennis was last updated on July 13, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.