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ALFRED PARKER KENNEDY JR. MD
NPI 1821076019
Surgery - Pediatric Surgery in Danville, PA

Active since January 06, 2006PECOS Enrolled
100 N ACADEMY AVE, DANVILLE, PA 17822(570) 214-7967(570) 214-2800 Get Directions Write a Review

NPPES record last updated: August 24, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Alfred Parker Kennedy Jr. Md NPPES

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

ALFRED PARKER KENNEDY JR. MD (NPI 1821076019) is an individual pediatric surgery provider in Danville, Pennsylvania, licensed in Pennsylvania (MD048614L) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS and maintains a secondary practice location in Knoxville.

NPPES Registry Identity

NPI1821076019
Entity TypeIndividualMale
Primary Taxonomy2086S0120X
Provider Legal NameALFRED PARKER KENNEDY JR.Credential: MD
Location Address100 N ACADEMY AVEDanville, PA 17822-2219
Mailing Address100 N Academy AveDanville, PA 17822-4903 · (570) 271-6144
Phone(570) 214-7967
Fax(570) 214-2800
Sole ProprietorNo
Enumeration DateJanuary 6, 2006
Last NPPES UpdateAugust 24, 2020
NPPES CertifiedAugust 24, 2020
✔ NPI 1821076019 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Pediatric SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0120X
Licenses✔ Licensed in PA · MD048614L✔ Licensed in TN · MD38890
Definition
A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents.
100 N ACADEMY AVE, Danville, PA 17822
Open in Google Maps ↗

Secondary Practice Location 1

Location 12100 W Clinch Ave, Suite 430Knoxville, TN 37916-2219 · Phone (865) 546-2131 · Fax (865) 637-2535

Other Identifiers 1

Medicaid5440421TN

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Alfred Parker Kennedy Jr. 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.

Medicare Billing Reassignment

Medicare enrollment records show Alfred Kennedy reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Geisinger Clinic
Same address
Podiatrist
100 N ACDEMY AVE
Danville, PA 17822
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 4,429 clinicians in this Medicare group
NPI 1043405897 (570) 271-5555

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.

DR. TARA JEAN LOUX MD
Surgery (Pediatric Surgery)
100 N ACADEMY AVE
DANVILLE, PA 17822
Montour County (570) 214-7967
MS. DENISE K HACKMAN RD, LDN
Dietitian, Registered
100 N ACADEMY AVE
DANVILLE, PA 17822
Montour County (570) 271-5332
DR. DANIEL CARROLL GEARY MD
Emergency Medicine
100 N ACADEMY AVE
DANVILLE, PA 17822
Montour County (570) 271-6212
MS. MONISA DEANNE WAGNER
Physician Assistant
100 N ACADEMY AVE
DANVILLE, PA 17822
Montour County (570) 271-7910
JESSICA LYNN CARNEY
Pediatrics
100 N ACADEMY AVE
DANVILLE, PA 17822
Montour County (570) 271-7910
CHRISTIE BUONPANE
Surgery (Pediatric Surgery)
100 N ACADEMY AVE
DANVILLE, PA 17822
Montour County (570) 271-6211
MAURA ELIZABETH GABLE D.O.
Pediatrics (Neonatal-Perinatal Medicine)
100 N ACADEMY AVE
DANVILLE, PA 17822
Montour County (570) 271-7910
ROSLYN MARIE FEASTER
Nurse Anesthetist, Certified Registered
100 N ACADEMY AVE
DANVILLE, PA 17822
Montour County (570) 271-6211

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 Alfred Kennedy's NPI number?

The NPI number for Alfred Kennedy is 1821076019. It was assigned to this individual provider in the NPPES registry on January 6, 2006.

Where is Alfred Kennedy located?

Alfred Kennedy practices at 100 N Academy Ave, Danville, PA 17822. The listed phone number is (570) 214-7967.

What is Alfred Kennedy's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Pediatric Surgery, with taxonomy code 2086S0120X.

Is Alfred Kennedy enrolled in Medicare?

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

Which organization bills Medicare for Alfred Kennedy's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Alfred Kennedy reassigns Medicare benefits to Geisinger Clinic (Danville, PA). The 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 Alfred Kennedy'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 Alfred Kennedy was last updated on August 24, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.