DR. STEPHEN D KENNEDY D.O.
NPI 1700885498
Family Medicine in South Bend, IN

Q: What is Stephen Kennedy's NPI number?

The NPI number for Stephen Kennedy is 1700885498. It was assigned to this individual provider in the NPPES registry on July 15, 2005.

Q: What is Stephen Kennedy's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Stephen Kennedy was last updated on February 22, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since July 15, 2005PECOS Enrolled

5838 W BRICK RD STE 106, SOUTH BEND, IN 46628(574) 247-1911(574) 247-1912 Get Directions Write a Review

NPPES record last updated: February 22, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 22, 2019, Jan 17, 2019 (2 updates tracked since 2019).

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About Dr. Stephen D Kennedy D.o. NPPES

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

DR. STEPHEN D KENNEDY D.O. (NPI 1700885498) is an individual family medicine provider in South Bend, Indiana, licensed in Indiana (02001650A) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1700885498

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDR. STEPHEN D KENNEDYCredential: D.O.

Location Address5838 W BRICK RD STE 106South Bend, IN 46628

Mailing Address5838 W Brick Rd Ste 106South Bend, IN 46628-8420 · (574) 247-1911 · Fax (574) 247-1912

Phone(574) 247-1911

Fax(574) 247-1912

Sole ProprietorYes

Enumeration DateJuly 15, 2005

Last NPPES UpdateFebruary 22, 20192 updates tracked since enumeration

✔ NPI 1700885498 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Licenses✔ Licensed in IN · 02001650A✔ Licensed in MI · 5101013733

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

5838 W BRICK RD STE 106, South Bend, IN 46628

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Secondary Practice Locations 2

Location 11415 Lincoln Way W, Suite OOsceola, IN 46561-2062 · Phone (574) 674-6499 · Fax (574) 674-6490

Location 22725 Airview Blvd Ste 105Portage, MI 49002-1804 · Phone (269) 349-8386 · Fax (269) 349-8397

Other Identifiers 1

Medicaid200081840AIN

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. Stephen D Kennedy D.o. 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46628 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

$82.04 typical visit price

range $53.07 – $161.76

Typical copayment $20.51 (range $13.26 – $40.44)

Most-billed visit code 99203

Established Patient

$94.22 typical visit price

range $16.93 – $132.22

Typical copayment $23.55 (range $4.23 – $33.05)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 17

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

15 suppliers51 claims145 services$6.16 avg. paid by Medicare

Normal, low and high calibrator solution / chips A4256

DME-Other DME · category DE000N

3 suppliers12 claims12 services$2.21 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

6 suppliers32 claims55 services$1.01 avg. paid by Medicare

Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4351

DME-Orthotic Devices · category DF008N

3 suppliers16 claims3,421 services$1.72 avg. paid by Medicare

Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each A4357

DME-Orthotic Devices · category DF000N

1 supplier11 claims22 services$8.53 avg. paid by Medicare

Lubricant, per ounce A4402

DME-Orthotic Devices · category DF010N

1 supplier11 claims65 services$1.54 avg. paid by Medicare

Administration set, with small volume nonfiltered pneumatic nebulizer, disposable A7003

DME-Other DME · category DE000N

3 suppliers14 claims28 services$1.41 avg. paid by Medicare

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260

DME-Hospital Beds · category DB000N

3 suppliers51 claims51 services$44.12 avg. paid by Medicare

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

3 suppliers29 claims29 services$16.42 avg. paid by Medicare

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

3 suppliers12 claims12 services$7.29 avg. paid by Medicare

Continuous positive airway pressure (cpap) device E0601

DME-Other DME · category DE001N

2 suppliers13 claims13 services$34.90 avg. paid by Medicare

Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) E0630

DME-Other DME · category DE000N

2 suppliers12 claims12 services$44.54 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

5 suppliers43 claims43 services$86.29 avg. paid by Medicare

Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms J7605

DME-Drugs Administered Through DME · category DG006N

2 suppliers14 claims840 services$4.33 avg. paid by Medicare

Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme J7620

DME-Drugs Administered Through DME · category DG006N

11 suppliers19 claims2,160 services$0.10 avg. paid by Medicare

Standard hemi (low seat) wheelchair K0002

DME-Wheelchairs · category DD000N

2 suppliers14 claims14 services$27.79 avg. paid by Medicare

Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513

DME-Other DME · category DE000N

8 suppliers32 claims32 services$26.05 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. JENIFER D COFFMAN FNP

Nurse Practitioner

5838 W BRICK RD STE 106
SOUTH BEND, IN 46628

St. Joseph County (574) 247-1911

KATHRYN ANNE BOGART FNP

Nurse Practitioner (Family)

5838 W BRICK RD STE 106
SOUTH BEND, IN 46628

St. Joseph County (574) 247-1911

VPA PC

Family Medicine

5838 W BRICK RD STE 106
SOUTH BEND, IN 46628

St. Joseph County (574) 247-1911

RUSSELL M MILLER MD

Family Medicine

5838 W BRICK RD STE 106
SOUTH BEND, IN 46628

St. Joseph County (574) 247-1911

SETH HAUSCHILD

Internal Medicine

5838 W BRICK RD STE 106
SOUTH BEND, IN 46628

St. Joseph County (574) 247-1911

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 Stephen Kennedy's NPI number?

The NPI number for Stephen Kennedy is 1700885498. It was assigned to this individual provider in the NPPES registry on July 15, 2005.

Where is Stephen Kennedy located?

Stephen Kennedy practices at 5838 W Brick Rd Ste 106, South Bend, IN 46628. The listed phone number is (574) 247-1911.

What is Stephen Kennedy's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Stephen Kennedy enrolled in Medicare?

Yes. Stephen Kennedy is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Stephen Kennedy was last updated on February 22, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.