KEVIN CHRISTOPHER KENNEDY DO
NPI 1679102263
Surgery in Minot, ND

Q: What is Kevin Kennedy's NPI number?

The NPI number for Kevin Kennedy is 1679102263. It was assigned to this individual provider in the NPPES registry on April 6, 2020.

Q: What is Kevin Kennedy's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Q: When was this NPI record last updated?

The NPPES record for Kevin Kennedy was last updated on September 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.

Active since April 06, 2020PECOS EnrolledAccepts Medicare Assignment

2305 37TH AVE SW, MINOT, ND 58701(701) 418-8000 Get Directions Write a Review

NPPES record last updated: September 24, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 12, 2022, Apr 6, 2020 (2 updates tracked since 2020).

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About Kevin Christopher Kennedy Do NPPES

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

KEVIN CHRISTOPHER KENNEDY DO (NPI 1679102263) is an individual surgery provider in Minot, North Dakota, licensed in North Dakota (PT22665) and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS, is affiliated with Trinity Hospitals, and maintains a secondary practice location in Pittsfield.

NPPES Registry Identity

NPI1679102263

Entity TypeIndividualMale

Primary Taxonomy208600000X

Provider Legal NameKEVIN CHRISTOPHER KENNEDYCredential: DO

Location Address2305 37TH AVE SWMinot, ND 58701-7669

Mailing AddressPo Box 5010Minot, ND 58702-5010 · (701) 418-8000

Phone(701) 418-8000

Sole ProprietorNo

Medical School CMSOtherGraduated 2020

Enumeration DateApril 6, 2020

Last NPPES UpdateSeptember 24, 20252 updates tracked since enumeration

NPPES CertifiedSeptember 24, 2025

✔ NPI 1679102263 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

Licenses✔ Licensed in ND · PT22665✔ Licensed in MA · 284020

Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

2305 37TH AVE SW, Minot, ND 58701

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Secondary Practice Location 1

Location 1725 North StPittsfield, MA 01201-4109 · Phone (413) 447-2000

Accepted Insurance

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kevin Christopher Kennedy Do is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9335550649

PECOS Enrollment IDI20250806001966

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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Trinity Hospitals

Acute Care Hospitals · Minot, ND

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number350006

Location407 3rd St SEMinot, ND 58701 · Ward County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 58701 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

$85.71 typical visit price

range $55.75 – $168.12

Typical copayment $21.42 (range $13.93 – $42.03)

Most-billed visit code 99203

Established Patient

$69.48 typical visit price

range $18.11 – $137.65

Typical copayment $17.37 (range $4.52 – $34.41)

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.

MYCA L KLEESPIE CRNA

Nurse Anesthetist, Certified Registered