Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

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

Q: 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.

Q: What is Kevin Ennis's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kevin Ennis was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 37 days 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 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: August 16, 2026.

On this page

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

Phone(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

Open in Google Maps ↗

Other Providers at the Same Location NPPES

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

JUSTIN W FOX M.D.

Anesthesiology

75 LINDALL STREET, HUNT CENTER
DANVERS, MA 01923

Essex County (978) 774-4400

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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 37 days 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.