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KD MEDICINE & WELLNESS PLLC
NPI 1669049995
Physician Assistant in North Andover, MA

Active since June 07, 2021
565 TURNPIKE ST STE 71, NORTH ANDOVER, MA 01845(508) 641-0235 Get Directions Write a Review

NPPES record last updated: October 15, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 15, 2021, Sep 16, 2021, Jun 7, 2021 (3 updates tracked since 2021).

About Kd Medicine & Wellness Pllc NPPES

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

KD MEDICINE & WELLNESS PLLC (NPI 1669049995), doing business as Kd Medicine & Wellness, is a healthcare organization registered as a physician assistant in North Andover, Massachusetts and active in the NPI registry since June 2021. The organization maintains a secondary practice location in North Andover and lists Kenneth R Dovidio, Physician Assistant, as its authorized official.

NPPES Registry Identity

NPI1669049995
Entity TypeOrganization
Primary Taxonomy363A00000X
Legal Business NameKD MEDICINE & WELLNESS PLLC
Location Address565 TURNPIKE ST STE 71North Andover, MA 01845-5936
Mailing Address565 Turnpike St Ste 71North Andover, MA 01845-5936 · (508) 641-0235
Phone(508) 641-0235
Organization SubpartNo
Authorized OfficialKenneth R DovidioPhysician Assistant · (508) 641-0235
Enumeration DateJune 7, 2021
Last NPPES UpdateOctober 15, 20213 updates tracked since enumeration
NPPES CertifiedOctober 15, 2021
✔ NPI 1669049995 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Also ListedInternal MedicineTaxonomy 207R00000X
Also ListedClinic/Center · Primary CareTaxonomy 261QP2300X
565 TURNPIKE ST STE 71, North Andover, MA 01845
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Other Names 1

Former Legal Business NameKd Medicine & Wellness

Secondary Practice Location 1

Location 1800 Turnpike St Ste 204North Andover, MA 01845-6156 · Phone (508) 641-0235

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and revalidation status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kd Medicine & Wellness Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by October 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateMassachusettsEnrollment IDO20211025000511Non-DME Part B · Clinic/Group PracticeDue dateOctober 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

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 Kd Medicine & Wellness PLLC's NPI number?

The NPI number for Kd Medicine & Wellness PLLC is 1669049995. It was assigned to this organization in the NPPES registry on June 7, 2021. The provider was formerly known as Kd Medicine & Wellness.

Where is Kd Medicine & Wellness PLLC located?

Kd Medicine & Wellness PLLC is located at 565 Turnpike St Ste 71, North Andover, MA 01845. The listed phone number is (508) 641-0235.

What is Kd Medicine & Wellness PLLC's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Kd Medicine & Wellness PLLC enrolled in Medicare?

Yes. Kd Medicine & Wellness PLLC is registered in the Medicare PECOS enrollment system.

When is Kd Medicine & Wellness PLLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Massachusetts, Clinic/Group Practice) is due for revalidation by October 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

What insurance does Kd Medicine & Wellness PLLC accept?

Health plans from Anthem Blue Cross and Blue Shield list Kd Medicine & Wellness PLLC 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 Kd Medicine & Wellness PLLC was last updated on October 15, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.