DR. KENNEDY HALL OD
NPI 1528794716
Optometrist - Pediatrics in Phoenix, AZ

Q: 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.

Q: What is Kennedy Hall's specialty?

The primary specialty registered for this NPI is Optometrist, specializing in Pediatrics, with taxonomy code 152WP0200X.

Q: 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.

Active since July 28, 2022PECOS Enrolled

1919 E THOMAS RD, PHOENIX, AZ 85016(602) 933-3937 Get Directions Write a Review

NPPES record last updated: July 18, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 18, 2023, Jul 28, 2022 (2 updates tracked since 2022).

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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

NPI1528794716

Entity TypeIndividualFemale

Primary Taxonomy152WP0200X

Provider Legal NameDR. KENNEDY HALLCredential: OD

Location Address1919 E THOMAS RDPhoenix, AZ 85016-7710

Mailing Address2108 E Thomas Rd Ste 130Phoenix, AZ 85016-0008 · (602) 933-3124

Phone(602) 933-3937

Sole ProprietorNo

Enumeration DateJuly 28, 2022

Last NPPES UpdateJuly 18, 20232 updates tracked since enumeration

NPPES CertifiedJuly 18, 2023

✔ NPI 1528794716 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOptometrist · PediatricsEye and Vision Services Providers

Taxonomy Code152WP0200X

License✔ Licensed in AZ · OTP-002611

Definition

Optometrists who work in Pediatrics are concerned with the prevention, development, diagnosis, and treatment of visual problems in children.

Also ListedOptometristTaxonomy 152W00000X · License OTP-002611 (AZ)

1919 E THOMAS RD, Phoenix, AZ 85016

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Secondary Practice Location 1

Location 13370 S Mercy RdGilbert, AZ 85297-0414 · Phone (602) 933-5437

Other Identifiers 1

Medicaid136936AZ

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Kennedy Hall Od 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.

Medicare Billing Reassignment

Medicare enrollment records show Kennedy Hall reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Phoenix Children's Hospital

Same address

Pediatrics

1919 E THOMAS RD
Phoenix, AZ 85016

Reassigned Medicare billing, Arizona enrollment
1,416 clinicians in this Medicare group

NPI 1922112044 (602) 933-1000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

New Patient

$127.71 typical visit price

range $55.44 – $168.60

Typical copayment $31.92 (range $13.86 – $42.15)

Most-billed visit code 99204

Established Patient

$69.24 typical visit price

range $17.72 – $137.41

Typical copayment $17.31 (range $4.43 – $34.35)

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 20

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

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