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DR. KEVIN PATRICK CONNOLLY M.D.
NPI 1649233560
Preventive Medicine - Aerospace Medicine in Apo, AP

Active since April 11, 2006PECOS Enrolled
PSC 76 BOX 4861, APO, AP 96319 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 13, 2026, Sep 11, 2025, Jul 21, 2022 (3 updates tracked since 2022).

About Dr. Kevin Patrick Connolly M.d. NPPES

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

DR. KEVIN PATRICK CONNOLLY M.D. (NPI 1649233560) is an individual aerospace medicine provider in Apo, AP, licensed in Pennsylvania (MD065470L) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1649233560
Entity TypeIndividualMale
Primary Taxonomy2083A0100X
Provider Legal NameDR. KEVIN PATRICK CONNOLLYCredential: M.D.
Location AddressPSC 76 BOX 4861Apo, AP 96319-0027
Mailing AddressPsc 76 Box 4861Apo, AP 96319-0027
Phone011813117666135
Sole ProprietorNo
Enumeration DateApril 11, 2006
Last NPPES UpdateJuly 13, 20263 updates tracked since enumeration
✔ NPI 1649233560 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPreventive Medicine · Aerospace MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2083A0100X
License✔ Licensed in PA · MD065470L
Definition
Aerospace medicine focuses on the clinical care, research, and operational support of the health, safety, and performance of crewmembers and passengers of air and space vehicles, together with the support personnel who assist operation of such vehicles. This population often works and lives in remote, isolated, extreme, or enclosed environments under conditions of physical and psychological stress. Practitioners strive for an optimal human-machine match in occupational settings rich with environmental hazards and engineering countermeasures.
Also ListedFamily MedicineTaxonomy 207Q00000X · License MD065470L (PA)

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Kevin Patrick Connolly 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.

Medicare Billing Reassignment

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

Sault Tribe Of Chippewa Indians
Federally Qualified Health Center (FQHC)
2864 ASHMUN ST
Sault Sainte Marie, MI 49783
  • Reassigned Medicare billing, Michigan enrollment
  • 15 clinicians in this Medicare group
NPI 1477721058 (906) 632-5200

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

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 Connolly's NPI number?

The NPI number for Kevin Connolly is 1649233560. It was assigned to this individual provider in the NPPES registry on April 11, 2006.

Where is Kevin Connolly located?

Kevin Connolly practices at Psc 76 Box 4861, Apo, AP 96319.

What is Kevin Connolly's specialty?

The primary specialty registered for this NPI is Preventive Medicine, specializing in Aerospace Medicine, with taxonomy code 2083A0100X.

Is Kevin Connolly enrolled in Medicare?

Yes. Kevin Connolly is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kevin Connolly's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kevin Connolly reassigns Medicare benefits to Sault Tribe Of Chippewa Indians (Sault Sainte Marie, MI). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kevin Connolly's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Kevin Connolly 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 3 months 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.