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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. JOHN SPENCER KENNEDY DO
NPI 1760076970
General Practice in Indianapolis, IN

Active since February 28, 2021PECOS Enrolled
8202 CLEARVISTA PKWY, INDIANAPOLIS, IN 46256(800) 294-0293(800) 294-0293 Get Directions Write a Review

NPPES record last updated: October 5, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 5, 2026, Sep 18, 2024, Feb 28, 2021 (3 updates tracked since 2021).

About Dr. John Spencer Kennedy Do NPPES

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

DR. JOHN SPENCER KENNEDY DO (NPI 1760076970) is an individual general practice provider in Indianapolis, Indiana, licensed in Indiana (02008866A) and active in the NPI registry since February 2021. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1760076970
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameDR. JOHN SPENCER KENNEDYCredential: DO
Location Address8202 CLEARVISTA PKWYIndianapolis, IN 46256-1400
Mailing Address8202 Clearvista PkwyIndianapolis, IN 46256-1400 · (800) 294-0293 · Fax (800) 294-0293
Phone(800) 294-0293
Fax(800) 294-0293
Sole ProprietorNo
Enumeration DateFebruary 28, 2021
Last NPPES UpdateOctober 5, 20263 updates tracked since enumeration
NPPES CertifiedOctober 5, 2026
✔ NPI 1760076970 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Licenses✔ Licensed in IN · 02008866A✔ Licensed in VA · 0102207361
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
8202 CLEARVISTA PKWY, Indianapolis, IN 46256
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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. John Spencer Kennedy Do 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.

JOHN M. PORTER DDS
Dentist (Oral and Maxillofacial Surgery)
8202 CLEARVISTA PKWY, BUILDING 5 SUITE B
INDIANAPOLIS, IN 46256
Marion County (317) 842-6333
CONNECT HEARING, INC.
Hearing Aid Equipment
8202 CLEARVISTA PKWY, STE 9C
INDIANAPOLIS, IN 46256
Marion County (317) 621-5713
MCCALL DENTURES OF IN, P.C.
Dentist
8202 CLEARVISTA PKWY, SUITE 4B
INDIANAPOLIS, IN 46256
Marion County (317) 596-9700
ALLERGY ASSOCIATES OF CENTRAL IN
Allergy & Immunology
8202 CLEARVISTA PKWY, 4A
INDIANAPOLIS, IN 46256
Marion County (317) 621-5460
DR. GERALD LEVIN DDS
Dentist (General Practice)
8202 CLEARVISTA PKWY, STE 10A
INDIANAPOLIS, IN 46256
Marion County (317) 596-9700
JOI RENEE CRENSHAW CPM, CDEM
Midwife
8202 CLEARVISTA PKWY
INDIANAPOLIS, IN 46256
Marion County (317) 436-8306
DR. GARY NUNNALLY LCSW, DMIN
Social Worker (Clinical)
8202 CLEARVISTA PKWY, BLDG 7
INDIANAPOLIS, IN 46256
Marion County (317) 288-9942
PHILIP BRUCE LOCKHART JR. DDS
Dentist (General Practice)
8202 CLEARVISTA PKWY, BLDG 4 SUITE C
INDIANAPOLIS, IN 46256
Marion County (317) 849-9715

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 John Kennedy's NPI number?

The NPI number for John Kennedy is 1760076970. It was assigned to this individual provider in the NPPES registry on February 28, 2021.

Where is John Kennedy located?

John Kennedy practices at 8202 Clearvista Pkwy, Indianapolis, IN 46256. The listed phone number is (800) 294-0293.

What is John Kennedy's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is John Kennedy enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for John Kennedy was last updated on October 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 days 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.