GREGORY A KENNEBECK MD
NPI 1871579847
Family Medicine in Travis Afb, CA
About Gregory A Kennebeck Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GREGORY A KENNEBECK MD (NPI 1871579847) is an individual family medicine provider in Travis Afb, California, licensed in California (A63038) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Gregory A Kennebeck Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Gregory Kennebeck reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Dayton, OH 45409
- Reassigned Medicare billing, Ohio enrollment
- 177 clinicians in this Medicare group
Seaman, OH 45679
- Reassigned Medicare billing, Ohio enrollment
- 894 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.
Areas of Expertise CMS Part B claims 5
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 94535 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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.
TRAVIS AFB, CA 94535
TRAVIS AFB, CA 94535
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 Gregory Kennebeck's NPI number?
The NPI number for Gregory Kennebeck is 1871579847. It was assigned to this individual provider in the NPPES registry on December 21, 2005.
Where is Gregory Kennebeck located?
Gregory Kennebeck practices at 101 Bodin Cir, Travis Afb, CA 94535. The listed phone number is (707) 423-1110.
What is Gregory Kennebeck's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Gregory Kennebeck enrolled in Medicare?
Yes. Gregory Kennebeck is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Gregory Kennebeck's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Gregory Kennebeck reassigns Medicare benefits to 2 organizations: Miami Valley Emergency Specialists, LLC (Dayton, OH) and Emergency Professional Services, Inc. (Seaman, OH). 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 Gregory Kennebeck's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Gregory Kennebeck accept?
Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Gregory Kennebeck as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Gregory Kennebeck was last updated on May 31, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.