KENNEDY REDMOND
NPI 1710845938
Physician Assistant in Patchogue, NY

Active since January 15, 2026PECOS EnrolledAccepts Medicare Assignment
101 HOSPITAL RD, PATCHOGUE, NY 11772(631) 654-7100 Get Directions Write a Review

NPPES record last updated: January 15, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kennedy Redmond NPPES

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

KENNEDY REDMOND (NPI 1710845938) is an individual physician assistant in Patchogue, New York and active in the NPI registry since January 2026. He is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1710845938
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameKENNEDY REDMOND
Location Address101 HOSPITAL RDPatchogue, NY 11772-4870
Mailing Address101 Hospital RdPatchogue, NY 11772-4870 · (631) 654-7100
Sole ProprietorYes
Medical School CMSOtherGraduated 2025
Enumeration DateJanuary 15, 2026
NPPES CertifiedJanuary 15, 2026
NPI 1710845938 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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.

101 HOSPITAL RD, Patchogue, NY 11772

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

Kennedy Redmond 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 ID8527543099
PECOS Enrollment IDI20260402000088
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 11772 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
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.

Internal Medicine (Critical Care Medicine)
101 HOSPITAL RD
PATCHOGUE, NY 11772
Physician Assistant
101 HOSPITAL RD
PATCHOGUE, NY 11772
Internal Medicine
101 HOSPITAL RD
PATCHOGUE, NY 11772
Clinic/Center (Mental Health (Including Community Mental Health Center))
101 HOSPITAL RD
PATCHOGUE, NY 11772
Physician Assistant (Medical)
101 HOSPITAL RD
PATCHOGUE, NY 11772
Student in an Organized Health Care Education/Training Program
101 HOSPITAL RD
PATCHOGUE, NY 11772
Physician Assistant
101 HOSPITAL RD
PATCHOGUE, NY 11772
Physician Assistant (Medical)
101 HOSPITAL RD
PATCHOGUE, NY 11772

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 Kennedy Redmond's NPI number?

The NPI number for Kennedy Redmond is 1710845938. It was assigned to this individual provider in the NPPES registry on January 15, 2026.

Where is Kennedy Redmond located?

Kennedy Redmond practices at 101 Hospital Rd, Patchogue, NY 11772. The listed phone number is (631) 654-7100.

What is Kennedy Redmond's specialty?

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

Is Kennedy Redmond enrolled in Medicare?

Yes. Kennedy Redmond is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Kennedy Redmond was last updated on January 15, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.