DR. JESSICA M. KENNEDY M.D.
NPI 1932332731
Internal Medicine in Chicago, IL

Q: What is Jessica Kennedy's NPI number?

The NPI number for Jessica Kennedy is 1932332731. It was assigned to this individual provider in the NPPES registry on August 26, 2009.

Q: What is Jessica Kennedy's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: Is Jessica Kennedy enrolled in Medicare?

No. Jessica Kennedy has opted out of Medicare through September 9, 2026. 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.

Q: When was this NPI record last updated?

The NPPES record for Jessica Kennedy was last updated on October 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.

Active since August 26, 2009Opted out of Medicare · through Sep 9, 2026CLIA 14D2271198 · Waiver

680 N LAKE SHORE DR STE 118, CHICAGO, IL 60611(312) 470-8990 Get Directions Write a Review

NPPES record last updated: October 11, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 11, 2024, Sep 7, 2022 (2 updates tracked since 2022).

On this page

About Dr. Jessica M. Kennedy M.d. NPPES

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

DR. JESSICA M. KENNEDY M.D. (NPI 1932332731) is an individual internal medicine provider in Chicago, Illinois, licensed in Illinois (036130011) and active in the NPI registry since August 2009. She has opted out of Medicare through September 9, 2026 and remains eligible to order and refer and holds a CLIA Waiver certificate valid through October 27, 2026.

NPPES Registry Identity

NPI1932332731

Entity TypeIndividualFemale

Primary Taxonomy207R00000X

Provider Legal NameDR. JESSICA M. KENNEDYCredential: M.D.

Location Address680 N LAKE SHORE DR STE 118Chicago, IL 60611-8701

Mailing Address680 N Lake Shore Dr Ste 118Chicago, IL 60611-8701 · (312) 470-8990

Phone(312) 470-8990

Sole ProprietorNo

Enumeration DateAugust 26, 2009

Last NPPES UpdateOctober 11, 20242 updates tracked since enumeration

NPPES CertifiedOctober 11, 2024

✔ NPI 1932332731 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in IL · 036130011

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

680 N LAKE SHORE DR STE 118, Chicago, IL 60611

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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. Jessica M. 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 September 9, 2022 through September 9, 2026.

Opt-Out Effective DateSeptember 9, 2022

Opt-Out In Effect ThroughSeptember 9, 2026Opt-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.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 14D2271198

Jessica M Kennedy, MD · Chicago, IL

Active · expires Oct 27, 2026

CLIA Number14D2271198

Laboratory TypePhysician Office

Certificate Effective DateOctober 28, 2024

Certificate Expiration DateOctober 27, 2026

Laboratory DirectorJessica M. Kennedy

Laboratory Phone(312) 470-8990

Laboratory LocationJessica M Kennedy, MD680 N Lake Shore Dr - Ste 118, Chicago, IL 60611

CLIA data matches this NPI record on: Address Phone

This certificate is issued to a laboratory to perform only waived tests.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60611 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$138.86 typical visit price

range $60.08 – $183.39

Typical copayment $34.71 (range $15.02 – $45.84)

Most-billed visit code 99204

Established Patient

$105.70 typical visit price

range $18.97 – $148.12

Typical copayment $26.42 (range $4.74 – $37.03)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

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

JENNIFER VIRANT MD

Internal Medicine

680 N LAKE SHORE DR STE 118
CHICAGO, IL 60611

Cook County (312) 470-8990

DR. GABRIELLE NAVON MD

Internal Medicine

680 N LAKE SHORE DR STE 118
CHICAGO, IL 60611

Cook County (312) 470-8990

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 Jessica Kennedy's NPI number?

The NPI number for Jessica Kennedy is 1932332731. It was assigned to this individual provider in the NPPES registry on August 26, 2009.

Where is Jessica Kennedy located?

Jessica Kennedy practices at 680 N Lake Shore Dr Ste 118, Chicago, IL 60611. The listed phone number is (312) 470-8990.

What is Jessica Kennedy's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Jessica Kennedy enrolled in Medicare?

No. Jessica Kennedy has opted out of Medicare through September 9, 2026. 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.

Does Jessica Kennedy hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D2271198) is associated with this NPI, valid through October 27, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Jessica Kennedy was last updated on October 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.