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CHARLES ANDREW KENWORTHY MD
NPI 1609405836
Student in an Organized Health Care Education/Training Program in New Haven, CT

Active since April 08, 2020PECOS Enrolled
20 YORK STREET, TOMKINS 226, NEW HAVEN, CT 06510(203) 688-4242 Get Directions Write a Review

NPPES record last updated: April 8, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Charles Andrew Kenworthy Md NPPES

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

CHARLES ANDREW KENWORTHY MD (NPI 1609405836) is an individual student in an organized health care education/training program in New Haven, Connecticut and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1609405836
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameCHARLES ANDREW KENWORTHYCredential: MD
Location Address20 YORK STREET, TOMKINS 226New Haven, CT 06510-3220
Mailing Address20 York Street, Tomkins 226New Haven, CT 06510-3220 · (203) 688-4242
Phone(203) 688-4242
Sole ProprietorNo
Enumeration DateApril 8, 2020
NPPES CertifiedApril 8, 2020
✔ NPI 1609405836 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

20 YORK STREET, New Haven, CT 06510
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Charles Andrew Kenworthy Md 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.

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.

FRANS J WACKERS MD
Radiology (Nuclear Radiology)
20 YORK STREET, Y-NHH SOUTH PAVILION 2ND FL
NEW HAVEN, CT 06510
South Central Connecticut Planning Region (203) 688-2433
JEFFREY J SCHWARTZ MD
Anesthesiology
20 YORK STREET, YNHH, TOMPKINS BUILDING, 3RD FLOOR
NEW HAVEN, CT 06510
South Central Connecticut Planning Region (203) 785-2802
JEROME S CZECH LCSW
Psychiatric Hospital
20 YORK STREET
NEW HAVEN, CT 06510
South Central Connecticut Planning Region (203) 688-9772
YNH MEDICAL SERVICES PC
Hospitalist
20 YORK STREET, CB-2041
NEW HAVEN, CT 06510
South Central Connecticut Planning Region (203) 688-4748
DR. MATTHEW PERRY STROUT M.D., PH.D.
Internal Medicine (Hematology & Oncology)
20 YORK STREET, YNH MEDICAL SERVICES, PC
NEW HAVEN, CT 06510
South Central Connecticut Planning Region (203) 688-4748
DR. BETH LEA EMERSON M.D.
Pediatrics
20 YORK STREET
NEW HAVEN, CT 06510
South Central Connecticut Planning Region (203) 688-2259
DR. TORAL SURTI M.D., PHD
Student in an Organized Health Care Education/Training Program
20 YORK STREET, YALE-NEW HAVEN HOSPITAL T-209
NEW HAVEN, CT 06510
South Central Connecticut Planning Region (203) 688-2259
DR. IRIS ISUFI M.D.
Internal Medicine (Hematology & Oncology)
20 YORK STREET, YALE NEW HAVEN HOSPITAL
NEW HAVEN, CT 06510
South Central Connecticut Planning Region (646) 943-4060

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 Charles Kenworthy's NPI number?

The NPI number for Charles Kenworthy is 1609405836. It was assigned to this individual provider in the NPPES registry on April 8, 2020.

Where is Charles Kenworthy located?

Charles Kenworthy practices at 20 York Street Tomkins 226, New Haven, CT 06510. The listed phone number is (203) 688-4242.

What is Charles Kenworthy's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Charles Kenworthy enrolled in Medicare?

Yes. Charles Kenworthy is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Charles Kenworthy was last updated on April 8, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.