DR. JASON MATTHEW KENNEDY M.D.
NPI 1699912469
Orthopaedic Surgery - Pediatric Orthopaedic Surgery in Fort Worth, TX

Q: What is Jason Kennedy's NPI number?

The NPI number for Jason Kennedy is 1699912469. It was assigned to this individual provider in the NPPES registry on January 14, 2009.

Q: What is Jason Kennedy's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Pediatric Orthopaedic Surgery, with taxonomy code 207XP3100X.

Q: When was this NPI record last updated?

The NPPES record for Jason Kennedy was last updated on May 7, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since January 14, 2009PECOS Enrolled

1500 COOPER ST, FORT WORTH, TX 76104(682) 885-4405(682) 885-4407 Get Directions Write a Review

NPPES record last updated: May 7, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 7, 2021, Apr 9, 2021 (2 updates tracked since 2021).

On this page

About Dr. Jason Matthew Kennedy M.d. NPPES

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

DR. JASON MATTHEW KENNEDY M.D. (NPI 1699912469) is an individual pediatric orthopaedic surgery provider in Fort Worth, Texas, licensed in Texas (N5150) and active in the NPI registry since January 2009. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1699912469

Entity TypeIndividualMale

Primary Taxonomy207XP3100X

Provider Legal NameDR. JASON MATTHEW KENNEDYCredential: M.D.

Location Address1500 COOPER STFort Worth, TX 76104-2710

Mailing AddressPo Box 733784Dallas, TX 75373-3784 · (682) 885-1855 · Fax (682) 885-1396

Phone(682) 885-4405

Fax(682) 885-4407

Sole ProprietorNo

Enumeration DateJanuary 14, 2009

Last NPPES UpdateMay 7, 20212 updates tracked since enumeration

NPPES CertifiedMay 7, 2021

✔ NPI 1699912469 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic Surgery · Pediatric Orthopaedic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207XP3100X

License✔ Licensed in TX · N5150

Definition

An orthopedic surgeon who has additional training and experience in diagnosing, treating and managing musculoskeletal problems in infants, children and adolescents. These may include limb and spine deformities (such as club foot, scoliosis); gait abnormalities (limping); bone and joint infections; broken bones.

1500 COOPER ST, Fort Worth, TX 76104

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Baylor Scott and White Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jason Matthew Kennedy 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.

Leave this field empty

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.

KATRINA L WILLIE-MUSOMA MD

Pediatrics (Neurodevelopmental Disabilities)