MATTHEW KENNEDY
NPI 1962077693
Podiatrist - Foot & Ankle Surgery in Phoenix, AZ

Active since May 25, 2021PECOS EnrolledAccepts Medicare Assignment
9321 W THOMAS RD STE 205, PHOENIX, AZ 85037(866) 974-2673 Get Directions Write a Review

NPPES record last updated: July 11, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 11, 2025, May 25, 2021 (2 updates tracked since 2021).

About Matthew Kennedy NPPES

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

MATTHEW KENNEDY (NPI 1962077693) is an individual foot & ankle surgery provider in Phoenix, Arizona, licensed in Arizona (POD-001139) and active in the NPI registry since May 2021. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1962077693
Entity TypeIndividualMale
Primary Taxonomy213ES0103X
Provider Legal NameMATTHEW KENNEDY
Location Address9321 W THOMAS RD STE 205Phoenix, AZ 85037-3392
Mailing Address18444 N 25th Ave Ste 310Phoenix, AZ 85023-1266 · (623) 474-3431
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateMay 25, 2021
Last NPPES UpdateJuly 11, 20252 updates tracked since enumeration
NPPES CertifiedJuly 11, 2025
NPI 1962077693 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
License Licensed in AZ · POD-001139
9321 W THOMAS RD STE 205, Phoenix, AZ 85037

Secondary Practice Locations 2

Location 119555 N 59th AveGlendale, AZ 85308-6813 · Phone (623) 572-3215
Location 2275 W MacArthur BlvdOakland, CA 94611-5641 · Phone (510) 752-1000

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Matthew Kennedy is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5395253231
PECOS Enrollment IDI20251106004900
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.

Other Providers at the Same Location NPPES 18

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

Physician Assistant
9321 W THOMAS RD STE 205
PHOENIX, AZ 85037
Podiatrist (Foot & Ankle Surgery)
9321 W THOMAS RD STE 205
PHOENIX, AZ 85037
Physician Assistant
9321 W THOMAS RD STE 205
PHOENIX, AZ 85037
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
9321 W THOMAS RD STE 205
PHOENIX, AZ 85037
Pain Medicine (Pain Medicine)
9321 W THOMAS RD STE 205
PHOENIX, AZ 85037
Physician Assistant (Surgical)
9321 W THOMAS RD STE 205
PHOENIX, AZ 85037
Orthopaedic Surgery
9321 W THOMAS RD STE 205
PHOENIX, AZ 85037
Podiatrist (Foot & Ankle Surgery)
9321 W THOMAS RD STE 205
PHOENIX, AZ 85037

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 Matthew Kennedy's NPI number?

The NPI number for Matthew Kennedy is 1962077693. It was assigned to this individual provider in the NPPES registry on May 25, 2021.

Where is Matthew Kennedy located?

Matthew Kennedy practices at 9321 W Thomas Rd Ste 205, Phoenix, AZ 85037. The listed phone number is (866) 974-2673.

What is Matthew Kennedy's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Is Matthew Kennedy enrolled in Medicare?

Yes. Matthew Kennedy is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Matthew Kennedy accept?

Health plans from Ambetter from Arizona Complete Health and Blue Cross Blue Shield of Arizona list Matthew Kennedy 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 Matthew Kennedy was last updated on July 11, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.