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

JOHN WAYNE KENNEDY MD
NPI 1780665448
General Practice in Marion, IN

Q: What is John Kennedy's NPI number?

The NPI number for John Kennedy is 1780665448. It was assigned to this individual provider in the NPPES registry on November 9, 2005.

Q: What is John Kennedy's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for John Kennedy was last updated on August 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.

Active since November 09, 2005PECOS Enrolled

1614 N BALDWIN AVE, MARION, IN 46952(765) 664-9000(765) 391-1521 Get Directions Write a Review

NPPES record last updated: August 9, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About John Wayne Kennedy Md NPPES

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

JOHN WAYNE KENNEDY MD (NPI 1780665448) is an individual general practice provider in Marion, Indiana, licensed in Indiana (01022780A) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1780665448

Entity TypeIndividualMale

Primary Taxonomy208D00000X

Provider Legal NameJOHN WAYNE KENNEDYCredential: MD

Location Address1614 N BALDWIN AVEMarion, IN 46952-1437

Mailing Address1614 N Baldwin AveMarion, IN 46952-1437 · (765) 664-9000 · Fax (765) 391-1521

Phone(765) 664-9000

Fax(765) 391-1521

Sole ProprietorNo

Enumeration DateNovember 9, 2005

Last NPPES UpdateAugust 9, 2026

✔ NPI 1780665448 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians

Taxonomy Code208D00000X

License✔ Licensed in IN · 01022780A

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

Also ListedFamily MedicineTaxonomy 207Q00000X · License 01022780 (IN)

1614 N BALDWIN AVE, Marion, IN 46952

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Other Identifiers 4

Other000000576122IN · Bcbs

Other000000697935IN · Bcbs

Medicaid100123680IN

Other000000286588IN · Anthem Bcbs

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

John Wayne 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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4034

Other-Enteral and Parenteral · category OB006N

1 supplier13 claims403 services$3.83 avg. paid by Medicare

Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4150

Other-Enteral and Parenteral · category OB006N

1 supplier13 claims8,034 services$0.47 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 4

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

PAMELA SUE BILLITER-YODER NP-C

Nurse Practitioner (Family)

1614 N BALDWIN AVE
MARION, IN 46952

Grant County (765) 665-9000

SUBODH S GUPTE MD

Internal Medicine (Cardiovascular Disease)

1614 N BALDWIN AVE
MARION, IN 46952

Grant County (765) 664-1201

MARION OCCUPATIONAL MEDICINE LLC

Family Medicine

1614 N BALDWIN AVE
MARION, IN 46952

Grant County (765) 664-9000

MARIA IPO-MILLER PT

Physical Therapist

1614 N BALDWIN AVE
MARION, IN 46952

Grant County (877) 603-3195

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 1780665448. It was assigned to this individual provider in the NPPES registry on November 9, 2005.

Where is John Kennedy located?

John Kennedy practices at 1614 N Baldwin Ave, Marion, IN 46952. The listed phone number is (765) 664-9000.

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 August 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.