DR. JOHN G. KENNEDY M.D.
NPI 1902913791
Orthopaedic Surgery - Foot and Ankle Surgery in New York, NY

Active since August 25, 2006Opted out of Medicare · through Jul 23, 2028
171 DELANCEY ST STE 210, NEW YORK, NY 10002(929) 455-2670(929) 455-9260 Get Directions Write a Review

NPPES record last updated: April 15, 2020. Verified against the NPPES registry weekly; last sync: September 13, 2026.

About Dr. John G. Kennedy M.d. NPPES

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

DR. JOHN G. KENNEDY M.D. (NPI 1902913791) is an individual foot and ankle surgery provider in New York, New York, licensed in New York (230567-1) and active in the NPI registry since August 2006. He has opted out of Medicare through July 23, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1902913791
Entity TypeIndividualMale
Primary Taxonomy207XX0004X
Provider Legal NameDR. JOHN G. KENNEDYCredential: M.D.
Location Address171 DELANCEY ST STE 210New York, NY 10002-3411
Mailing Address171 Delancey St Ste 210New York, NY 10002-3411 · (929) 455-2670 · Fax (929) 455-9260
Fax(929) 455-9260
Sole ProprietorYes
Enumeration DateAugust 25, 2006
Last NPPES UpdateApril 15, 2020
NPPES CertifiedApril 15, 2020
NPI 1902913791 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOrthopaedic Surgery · Foot and Ankle SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207XX0004X
License Licensed in NY · 230567-1
Definition
Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, foot and ankle surgeons deal with adult reconstructive foot and ankle surgery, adult foot and ankle trauma, sports medicine foot and ankle, and children's foot and ankle reconstructive surgery.
171 DELANCEY ST STE 210, New York, NY 10002

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Dr. John G. Kennedy M.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from July 23, 2016 through July 23, 2028.

Opt-Out Effective DateJuly 23, 2016
Opt-Out In Effect ThroughJuly 23, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

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 1902913791. It was assigned to this individual provider in the NPPES registry on August 25, 2006.

Where is John Kennedy located?

John Kennedy practices at 171 Delancey St Ste 210, New York, NY 10002. The listed phone number is (929) 455-2670.

What is John Kennedy's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Foot and Ankle Surgery, with taxonomy code 207XX0004X.

Is John Kennedy enrolled in Medicare?

No. John Kennedy has opted out of Medicare through July 23, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for John Kennedy was last updated on April 15, 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.