KOBY KENNEDY CAA
NPI 1982426920
Anesthesiologist Assistant in West Palm Beach, FL

Active since October 30, 2024Accepts Medicare Assignment
16028 71ST DR N, WEST PALM BEACH, FL 33418(561) 254-9501 Get Directions Write a Review

NPPES record last updated: February 7, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Koby Kennedy Caa NPPES

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

KOBY KENNEDY CAA (NPI 1982426920) is an individual anesthesiologist assistant in West Palm Beach, Florida, licensed in Florida (AA1038) and active in the NPI registry since October 2024. He is affiliated with Lee Memorial Hospital and is a graduate of Other (2024).

NPPES Registry Identity

NPI1982426920
Entity TypeIndividualMale
Primary Taxonomy367H00000X
Provider Legal NameKOBY KENNEDYCredential: CAA
Location Address16028 71ST DR NWest Palm Beach, FL 33418-7460
Mailing Address16028 71st Dr NWest Palm Beach, FL 33418-7460 · (561) 254-9501
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateOctober 30, 2024
Last NPPES UpdateFebruary 7, 2025
NPPES CertifiedFebruary 7, 2025
NPI 1982426920 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAnesthesiologist AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367H00000X
License Licensed in FL · AA1038
Definition
An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist Assistant must work as a member of the anesthesia care team under the direction of a qualified Anesthesiologist.
16028 71ST DR N, West Palm Beach, FL 33418

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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

Koby Kennedy Caa 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 ID9436689619
PECOS Enrollment IDI20250204002192

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Lee Memorial Hospital

Acute Care Hospitals · Fort Myers, FL
5/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number100012
Location2776 Cleveland AveFort Myers, FL 33901 · Lee County
Emergency services Birthing friendly

Cape Coral Hospital

Acute Care Hospitals · Cape Coral, FL
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number100244
Location636 Del Prado BlvdCape Coral, FL 33990 · Lee County
Emergency services Birthing friendly

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 Koby Kennedy's NPI number?

The NPI number for Koby Kennedy is 1982426920. It was assigned to this individual provider in the NPPES registry on October 30, 2024.

Where is Koby Kennedy located?

Koby Kennedy practices at 16028 71st Dr N, West Palm Beach, FL 33418. The listed phone number is (561) 254-9501.

What is Koby Kennedy's specialty?

The primary specialty registered for this NPI is Anesthesiologist Assistant with taxonomy code 367H00000X.

Is Koby Kennedy enrolled in Medicare?

Yes. Koby 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.

Is Koby Kennedy affiliated with any hospitals?

According to CMS data, Koby Kennedy is affiliated with Lee Memorial Hospital and Cape Coral Hospital.

When was this NPI record last updated?

The NPPES record for Koby Kennedy was last updated on February 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.