DR. KENNEDY HALL OD
NPI 1528794716
Optometrist - Pediatrics in Phoenix, AZ
About Dr. Kennedy Hall Od NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. KENNEDY HALL OD (NPI 1528794716) is an individual pediatrics provider in Phoenix, Arizona, licensed in Arizona (OTP-002611) and active in the NPI registry since July 2022. She is enrolled in Medicare PECOS and maintains a secondary practice location in Gilbert.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Other Identifiers 1
Accepted Insurance
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. Kennedy Hall Od is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 85016 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.
PHOENIX, AZ 85016
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 Kennedy Hall's NPI number?
The NPI number for Kennedy Hall is 1528794716. It was assigned to this individual provider in the NPPES registry on July 28, 2022.
Where is Kennedy Hall located?
Kennedy Hall practices at 1919 E Thomas Rd, Phoenix, AZ 85016. The listed phone number is (602) 933-3937.
What is Kennedy Hall's specialty?
The primary specialty registered for this NPI is Optometrist, specializing in Pediatrics, with taxonomy code 152WP0200X.
Is Kennedy Hall enrolled in Medicare?
Yes. Kennedy Hall is registered in the Medicare PECOS enrollment system.
What insurance does Kennedy Hall accept?
Health plans from Blue Cross Blue Shield of Arizona list Kennedy Hall as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Kennedy Hall was last updated on July 18, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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. Kennedy Hall, OD · NPI 1528794716
Pediatrics provider in Phoenix, Arizona. Individual provider, active in the CMS NPPES registry since July 28, 2022.
## Identity
- **NPI:** 1528794716 (Entity type: Individual)
- **Enumerated:** July 28, 2022
- **Primary specialty:** Optometrist - Pediatrics · taxonomy 152WP0200X
- **State license:** OTP-002611 (Arizona)
- **Sole proprietor:** No
## Practice location
- **Address:** 1919 E THOMAS RD, Phoenix, AZ 85016-7710
- **Phone:** (602) 933-3937
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
## Record status
- **NPPES last updated:** July 18, 2023
- **Other identifiers:** Medicaid 136936 (AZ)
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Source: [NPI Profile](https://npiprofile.com/npi/1528794716) · Data from the CMS NPPES public registry.