DR. KATHERINE KENYON MD
NPI 1770160525
General Practice in Farmington, CT
About Dr. Katherine Kenyon Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. KATHERINE KENYON MD (NPI 1770160525) is an individual general practice provider in Farmington, Connecticut, licensed in Connecticut (77571) and active in the NPI registry since March 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2019).
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Katherine Kenyon Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Katherine Kenyon reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Glendale, CA 91214
- Reassigned Medicare billing, Tennessee enrollment
- 3 clinicians in this Medicare group
Los Angeles, CA 90066
- Reassigned Medicare billing, Tennessee enrollment
- 3 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
FARMINGTON, CT 06030
FARMINGTON, CT 06030
FARMINGTON, CT 06030
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 Katherine Kenyon's NPI number?
The NPI number for Katherine Kenyon is 1770160525. It was assigned to this individual provider in the NPPES registry on March 26, 2021.
Where is Katherine Kenyon located?
Katherine Kenyon practices at 263 Farmington Ave, Farmington, CT 06030. The listed phone number is (860) 809-3290.
What is Katherine Kenyon's specialty?
The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.
Is Katherine Kenyon enrolled in Medicare?
Yes. Katherine Kenyon is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Katherine Kenyon's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Katherine Kenyon reassigns Medicare benefits to 2 organizations: Skilled Physicians Group (Glendale, CA) and Skilled Facility Health Care Solutions Inc (Los Angeles, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Katherine Kenyon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Katherine Kenyon was last updated on October 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# Dr. Katherine Kenyon, MD · NPI 1770160525
General Practice physician in Farmington, Connecticut. Individual provider, active in the CMS NPPES registry since March 26, 2021.
## Identity
- **NPI:** 1770160525 (Entity type: Individual)
- **Enumerated:** March 26, 2021
- **Primary specialty:** General Practice · taxonomy 208D00000X
- **State license:** 77571 (Connecticut)
- **Sole proprietor:** No
## Practice location
- **Address:** 263 FARMINGTON AVE, Farmington, CT 06030-0001
- **Phone:** (860) 809-3290
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Skilled Physicians Group (NPI 1902444623, Glendale, CA); Skilled Facility Health Care Solutions Inc (NPI 1104018423, Los Angeles, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** October 18, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1770160525) · Data from the CMS NPPES public registry.