SAMUEL EDWARD KENNEDY MD
NPI 1710682562
Anesthesiology in Salt Lake City, UT

Q: What is Samuel Kennedy's NPI number?

The NPI number for Samuel Kennedy is 1710682562. It was assigned to this individual provider in the NPPES registry on April 3, 2023.

Q: What is Samuel Kennedy's specialty?

The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.

Q: When was this NPI record last updated?

The NPPES record for Samuel Kennedy was last updated on September 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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 03, 2023PECOS Enrolled

50 N MEDICAL DR, SALT LAKE CITY, UT 84132(801) 581-2121 Get Directions Write a Review

NPPES record last updated: September 17, 2024. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Sep 17, 2024, Apr 3, 2023 (2 updates tracked since 2023).

On this page

About Samuel Edward Kennedy Md NPPES

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

SAMUEL EDWARD KENNEDY MD (NPI 1710682562) is an individual anesthesiology provider in Salt Lake City, Utah, licensed in Utah (14144904-1205) and active in the NPI registry since April 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1710682562

Entity TypeIndividualMale

Primary Taxonomy207L00000X

Provider Legal NameSAMUEL EDWARD KENNEDYCredential: MD

Location Address50 N MEDICAL DRSalt Lake City, UT 84132-0001

Mailing Address50 N Medical DrSalt Lake City, UT 84132-0001 · (801) 581-2121

Phone(801) 581-2121

Sole ProprietorNo

Enumeration DateApril 3, 2023

Last NPPES UpdateSeptember 17, 20242 updates tracked since enumeration

NPPES CertifiedSeptember 17, 2024

✔ NPI 1710682562 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiologyAllopathic & Osteopathic Physicians

Taxonomy Code207L00000X

License✔ Licensed in UT · 14144904-1205

Definition

An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.

50 N MEDICAL DR, Salt Lake City, UT 84132

Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Samuel Edward Kennedy Md 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.

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.

UNIVERSITY OF UTAH ADULT SERVICES

Otolaryngology