DR. KENNY R SINERVO M.D.
NPI 1508936964
Obstetrics & Gynecology - Urogynecology and Reconstructive Pelvic Surgery in Atlanta, GA

Active since November 09, 2006PECOS Enrolled
6105 PEACHTREE DUNWOODY RD, BLDG. B; SUITE 230, ATLANTA, GA 30328(770) 913-0001(770) 913-0005 Get Directions Write a Review

NPPES record last updated: October 14, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Kenny R Sinervo M.d. NPPES

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

DR. KENNY R SINERVO M.D. (NPI 1508936964) is an individual urogynecology and reconstructive pelvic surgery provider in Atlanta, Georgia, licensed in Georgia (48574) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1508936964
Entity TypeIndividualMale
Primary Taxonomy207VF0040X
Provider Legal NameDR. KENNY R SINERVOCredential: M.D.
Location Address6105 PEACHTREE DUNWOODY RD, BLDG. B; SUITE 230Atlanta, GA 30328
Mailing Address6105 Peachtree Dunwoody Rd, Bldg B; Suite 230Atlanta, GA 30328 · (770) 913-0001 · Fax (770) 913-0005
Fax(770) 913-0005
Sole ProprietorYes
Enumeration DateNovember 9, 2006
Last NPPES UpdateOctober 14, 2016
NPI 1508936964 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyObstetrics & Gynecology · Urogynecology and Reconstructive Pelvic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207VF0040X
License Licensed in GA · 48574
Definition
A subspecialist in Urogynecology and Reconstructive Pelvic Surgery is a physician in Urology or Obstetrics and Gynecology who, by virtue of education and training, is prepared to provide consultation and comprehensive management of women with complex benign pelvic conditions, lower urinary tract disorders, and pelvic floor dysfunction. Comprehensive management includes those diagnostic and therapeutic procedures necessary for the total care of the patient with these conditions and complications resulting from them.
Also ListedObstetrics & Gynecology · GynecologyTaxonomy 207VG0400X · License 48574 (GA)
6105 PEACHTREE DUNWOODY RD, Atlanta, GA 30328

Other Identifiers 1

Medicare UPINH84895GA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Kenny R Sinervo 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30328 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$130.64 typical visit price
range $56.84 – $172.43
Typical copayment $32.66 (range $14.21 – $43.10)
Most-billed visit code 99204
Established Patient
$70.85 typical visit price
range $18.22 – $140.40
Typical copayment $17.71 (range $4.55 – $35.10)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 5

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

Internal Medicine (Cardiovascular Disease)
6105 PEACHTREE DUNWOODY RD, BUILDING A-STE
ATLANTA, GA 30328
Specialist
6105 PEACHTREE DUNWOODY RD, BLDG B, SUITE 225
ATLANTA, GA 30328
Anesthesiologist Assistant
6105 PEACHTREE DUNWOODY RD
ATLANTA, GA 30328
Nurse Practitioner (Adult Health)
6105 PEACHTREE DUNWOODY RD
ATLANTA, GA 30328
Specialist
6105 PEACHTREE DUNWOODY RD, BUILDING E, SUITE 150
ATLANTA, GA 30328

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 Kenny Sinervo's NPI number?

The NPI number for Kenny Sinervo is 1508936964. It was assigned to this individual provider in the NPPES registry on November 9, 2006.

Where is Kenny Sinervo located?

Kenny Sinervo practices at 6105 Peachtree Dunwoody Rd Bldg. B; Suite 230, Atlanta, GA 30328. The listed phone number is (770) 913-0001.

What is Kenny Sinervo's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Urogynecology and Reconstructive Pelvic Surgery, with taxonomy code 207VF0040X.

Is Kenny Sinervo enrolled in Medicare?

Yes. Kenny Sinervo is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kenny Sinervo was last updated on October 14, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.