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MR. MICHAEL D KENNEDY PA C
NPI 1972599678
Physician Assistant - Surgical in Frederick, MD

Active since September 27, 2005PECOS Enrolled
86 THOMAS JOHNSON CT, FREDERICK, MD 21702(301) 694-8311 Get Directions Write a Review

NPPES record last updated: June 18, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Michael D Kennedy Pa C NPPES

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

MR. MICHAEL D KENNEDY PA C (NPI 1972599678) is an individual surgical provider in Frederick, Maryland, licensed in Maryland (C0002738) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1972599678
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameMR. MICHAEL D KENNEDYCredential: PA C
Location Address86 THOMAS JOHNSON CTFrederick, MD 21702-4348
Mailing Address86 Thomas Johnson CtFrederick, MD 21702-4348 · (301) 694-8311
Phone(301) 694-8311
Sole ProprietorNo
Enumeration DateSeptember 27, 2005
Last NPPES UpdateJune 18, 2020
NPPES CertifiedJune 18, 2020
✔ NPI 1972599678 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in MD · C0002738
86 THOMAS JOHNSON CT, Frederick, MD 21702
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Michael D Kennedy Pa C 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.

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.

ASHLEY N LANDIS OTR
Occupational Therapist
86 THOMAS JOHNSON CT
FREDERICK, MD 21702
Frederick County (301) 694-8311
LAURA S COPAKEN MD
Specialist
86 THOMAS JOHNSON CT
FREDERICK, MD 21702
Frederick County (301) 694-8311
BEVERLY KORNIDES P.T.
Physical Therapist
86 THOMAS JOHNSON CT
FREDERICK, MD 21702
Frederick County (301) 694-8311
MR. GEORGE EDWARD ADAMS PT
Physical Therapist
86 THOMAS JOHNSON CT
FREDERICK, MD 21702
Frederick County (301) 694-8311
JULIA ANNA ENEA PA-C
Physician Assistant
86 THOMAS JOHNSON CT
FREDERICK, MD 21702
Frederick County (301) 694-8311
NANCY BETH STULTZ OT
Occupational Therapist
86 THOMAS JOHNSON CT
FREDERICK, MD 21702
Frederick County (301) 694-8311
NISENFELD & CHILTON, MD PA
Clinic/Center (Ambulatory Surgical)
86 THOMAS JOHNSON CT
FREDERICK, MD 21702
Frederick County (301) 694-8311
JONATHAN DAVID HALL PA-C
Physician Assistant
86 THOMAS JOHNSON CT
FREDERICK, MD 21702
Frederick County (301) 694-8311

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 Michael Kennedy's NPI number?

The NPI number for Michael Kennedy is 1972599678. It was assigned to this individual provider in the NPPES registry on September 27, 2005.

Where is Michael Kennedy located?

Michael Kennedy practices at 86 Thomas Johnson Ct, Frederick, MD 21702. The listed phone number is (301) 694-8311.

What is Michael Kennedy's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Michael Kennedy enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Michael Kennedy was last updated on June 18, 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.