SUSAN KENNEDY DO
NPI 1720095276
Family Medicine in Des Moines, IA

Q: What is Susan Kennedy's NPI number?

The NPI number for Susan Kennedy is 1720095276. It was assigned to this individual provider in the NPPES registry on August 1, 2006.

Q: What is Susan 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 Susan Kennedy was last updated on May 1, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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 August 01, 2006PECOS EnrolledAccepts Medicare Assignment

2353 SE 14TH ST, DES MOINES, IA 50320(515) 248-1400(515) 248-1414 Get Directions Write a Review

NPPES record last updated: May 1, 2018. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: May 1, 2018, Mar 17, 2018, Nov 20, 2017 and 1 more (4 updates tracked since 2016).

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About Susan Kennedy Do NPPES

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

SUSAN KENNEDY DO (NPI 1720095276) is an individual family medicine provider in Des Moines, Iowa, licensed in Iowa (02732) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS, is affiliated with Broadlawns Medical Center, and maintains a secondary practice location in West Des Moines.

NPPES Registry Identity

NPI1720095276

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameSUSAN KENNEDYCredential: DO

Location Address2353 SE 14TH STDes Moines, IA 50320-1109

Mailing Address1200 University Ave Ste 200Des Moines, IA 50314-2355 · (515) 248-1447 · Fax (515) 248-1440

Phone(515) 248-1400

Fax(515) 248-1414

Sole ProprietorNo

Medical School CMSDes Moines University Of Osteopathic Medicine And Health SciencesGraduated 1990

Enumeration DateAugust 1, 2006

Last NPPES UpdateMay 1, 20184 updates tracked since enumeration

✔ NPI 1720095276 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in IA · 02732

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.

2353 SE 14TH ST, Des Moines, IA 50320

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Secondary Practice Location 1

Location 1119 19th St, Suite 106West Des Moines, IA 50265-4226 · Phone (515) 226-0112 · Fax (515) 226-0208

Other Identifiers 2

Medicaid0162065IA

Other59346IA · Medicare Ptan

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan and more.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

Susan 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 ID9739217266

PECOS Enrollment IDI20100504000639

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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

83 services71 patients

Hospital Affiliations CMS Care Compare

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

Broadlawns Medical Center

Acute Care Hospitals · Des Moines, IA

2/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number160101

Location1801 Hickman RoadDes Moines, IA 50314 · Polk County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 50320 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

$81.84 typical visit price

range $52.96 – $161.40

Typical copayment $20.46 (range $13.24 – $40.35)

Most-billed visit code 99203

Established Patient

$94.05 typical visit price

range $16.91 – $131.98

Typical copayment $23.51 (range $4.22 – $32.99)

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

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

3 suppliers16 claims33 services$4.19 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 20

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

APRIL WINTERS DO

Family Medicine