DR. ETHAN OWEN KENNEDY DO
NPI 1972679181
Family Medicine in Phoenix, AZ

Q: What is Ethan Kennedy's NPI number?

The NPI number for Ethan Kennedy is 1972679181. It was assigned to this individual provider in the NPPES registry on November 28, 2006.

Q: What is Ethan Kennedy's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Ethan Kennedy was last updated on December 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since November 28, 2006PECOS EnrolledAccepts Medicare Assignment

10240 W INDIAN SCHOOL RD STE 155, PHOENIX, AZ 85037(623) 385-7900(623) 440-4360 Get Directions Write a Review

NPPES record last updated: December 20, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Dr. Ethan Owen Kennedy Do NPPES

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

DR. ETHAN OWEN KENNEDY DO (NPI 1972679181) is an individual family medicine provider in Phoenix, Arizona, licensed in Arizona (3123) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS and is a graduate of Kansas City University Of Med & Biosciences, College Of Osteo Med (1995).

NPPES Registry Identity

NPI1972679181

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDR. ETHAN OWEN KENNEDYCredential: DO

Location Address10240 W INDIAN SCHOOL RD STE 155Phoenix, AZ 85037-5909

Mailing Address10240 W Indian School Rd Ste 155Phoenix, AZ 85037-5909 · (623) 385-7900 · Fax (623) 440-4360

Phone(623) 385-7900

Fax(623) 440-4360

Sole ProprietorNo

Medical School CMSKansas City University Of Med & Biosciences, College Of Osteo MedGraduated 1995

Enumeration DateNovember 28, 2006

Last NPPES UpdateDecember 20, 2023

NPPES CertifiedDecember 20, 2023

✔ NPI 1972679181 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in AZ · 3123

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

10240 W INDIAN SCHOOL RD STE 155, Phoenix, AZ 85037

Open in Google Maps ↗

Other Identifiers 1

Medicaid452673AZ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona, Imperial Insurance Companies, Inc. and more.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

Dr. Ethan Owen Kennedy Do 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 ID1658353644

PECOS Enrollment IDI20040603000546

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.

Areas of Expertise CMS Part B claims 19

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

450 services151 patients

Face-to-face behavioral counseling for obesity, 15 minutes G0447

This is a 15-minute consultation where a healthcare professional discusses your eating habits, physical activity, and goals to help manage your weight. The aim is to provide personalized strategies to promote a healthier lifestyle and combat obesity.

148 services52 patients

Assessment of emotional or behavioral problems 96127

Assessment of emotional or behavioral problems involves a thorough evaluation of your feelings, thoughts, and behaviors. It's a process where professionals study patterns over time to identify potential issues like anxiety, depression, or other mental health conditions.

145 services51 patients

Blood glucose (sugar) test performed by hand-held instrument 82962

A blood glucose test uses a handheld device to measure the amount of sugar in your blood. A small prick on your finger allows a drop of blood to be placed on a test strip, which is then read by the device. This helps monitor and manage diabetes effectively.

137 services64 patients

Advance care planning, first 30 minutes 99497

Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.

111 services92 patients

Urinalysis, manual test 81002

A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.

76 services42 patients

Annual depression screening, 5 to 15 minutes G0444

An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.

72 services72 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

58 services45 patients

Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional 99211

This service involves an outpatient visit for established patients who may not need direct interaction with a healthcare professional. It could include reviewing test results, monitoring existing conditions, or adjusting treatment plans. It's typically done remotely, ensuring your comfort and convenience.

55 services31 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

54 services54 patients

Annual alcohol misuse screening, 5 to 15 minutes G0442

An annual alcohol misuse screening is a 15-minute check-up to assess your drinking habits. It helps identify if you're consuming alcohol in a way that could harm your health. This is not a judgment, but a tool to promote your wellbeing.

47 services47 patients

Telephone medical discussion with physician, 21-30 minutes 99443

This service involves a 21-30 minute phone conversation with a physician. It's a chance for you to discuss your health concerns, symptoms or treatment plans. It's similar to an in-person consultation, but conducted over the phone for your convenience and safety.

40 services26 patients

Injection of drug or substance under skin or into muscle 96372

This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.

39 services17 patients

Hemoglobin a1c level 83036

Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.

32 services24 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

30 services20 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000

An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.

26 services23 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

24 services21 patients

Urine microalbumin (protein) level 82043

The urine microalbumin level test measures the amount of a protein called albumin in your urine. This test helps to detect early signs of kidney damage. High levels of albumin may suggest your kidneys aren't functioning properly. It's a simple, non-invasive test that involves providing a urine sample.

12 services11 patients

Creatinine level to test for kidney function or muscle injury 82570

A creatinine level test measures the amount of creatinine in your blood. This substance is a waste product from normal muscle use. Higher levels can indicate possible kidney dysfunction or muscle injury. This test helps monitor kidney health.

12 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85037 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

$85.89 typical visit price

range $55.44 – $168.60

Typical copayment $21.47 (range $13.86 – $42.15)

Most-billed visit code 99203

Established Patient

$98.00 typical visit price

range $17.72 – $137.41

Typical copayment $24.50 (range $4.43 – $34.35)

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 8

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

MS. AURORA IRENE KEELER

Nurse Practitioner (Family)

10240 W INDIAN SCHOOL RD STE 155
PHOENIX, AZ 85037

Maricopa County (623) 594-3171

DR. ANDREW DENNIS HOEFFLER DNP, NP-C

Nurse Practitioner (Family)

10240 W INDIAN SCHOOL RD STE 155
PHOENIX, AZ 85037

Maricopa County (623) 594-3171

REGINA JO JONES FNP

Nurse Practitioner (Family)

10240 W INDIAN SCHOOL RD STE 155
PHOENIX, AZ 85037

Maricopa County (623) 594-3171

CHRISTOPHER S HILER M.D.

Family Medicine

10240 W INDIAN SCHOOL RD STE 155, SUITE 220
PHOENIX, AZ 85037

Maricopa County (623) 385-7900

DR. LUIS ANTONIO LOPEZ MD

Physician Assistant

10240 W INDIAN SCHOOL RD STE 155
PHOENIX, AZ 85037

Maricopa County (623) 385-7900

HEALTHY LIFE CORPORATION

Nurse Practitioner (Family)

10240 W INDIAN SCHOOL RD STE 155
PHOENIX, AZ 85037

Maricopa County (623) 385-7900

CHRISTINE ROCKS-LOPEZ

Nurse Practitioner (Primary Care)

10240 W INDIAN SCHOOL RD STE 155
PHOENIX, AZ 85037

Maricopa County (623) 385-7900

BETHANY E MAINVILLE-BROOKS CNM

Advanced Practice Midwife

10240 W INDIAN SCHOOL RD STE 155
PHOENIX, AZ 85037

Maricopa County (623) 385-7900

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 Ethan Kennedy's NPI number?

The NPI number for Ethan Kennedy is 1972679181. It was assigned to this individual provider in the NPPES registry on November 28, 2006.

Where is Ethan Kennedy located?

Ethan Kennedy practices at 10240 W Indian School Rd Ste 155, Phoenix, AZ 85037. The listed phone number is (623) 385-7900.

What is Ethan Kennedy's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Ethan Kennedy enrolled in Medicare?

Yes. Ethan 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 Ethan Kennedy accept?

Health plans from Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona, Imperial Insurance Companies, Inc., Oscar Health Plan, Inc. and UnitedHealthcare list Ethan 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 Ethan Kennedy was last updated on December 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.