Individual provider Active NPI

Abbey Lynn Kennedy, M.D.

  • Orthopaedic Surgery Physician
  • San Francisco, CA
National Provider Identifier
1013093327
Registry record updated Jul 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
A11548 Issued in CA
Practice address
500 Parnassus Ave
Mu 320W
San Francisco, CA 94143-2203
Phone
(415) 476-6043
NPI assigned
Oct 29, 2006
Last updated
Jul 30, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 30, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X A11548 CA Primary

Addresses

Primary practice location

500 Parnassus Ave
Mu 320W
San Francisco, CA 94143-2203

Mailing address

2920 Jackson St
San Francisco, CA 94115-1007
Phone (661) 406-6882

Other practice location 1

320 Alpenglow Ln
Livingston, MT 59047-8506
Phone (406) 587-0122

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, MT2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20121128000203 CA Practitioner - Orthopedic Surgery 8729230610 Reassigns benefits to 1 organization
I20190830001405 MT Practitioner - Orthopedic Surgery 8729230610 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
80.93 of 100Reported as group
Quality
60.05
Promoting interoperability
100
Improvement activities
40
Cost
76.39

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A11548CAMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Regents of the Univ of Ca Current Accepting new patients
Regents of the Univ of Ca Orthopaedic Surgery CurrentSince Aug 1, 2025 Accepting new patients
California Orthopedics & Spine Inc Orthopaedic Surgery CurrentSince Jan 1, 2013 Accepting new patients
Regents of the Univ of Ca CurrentSince Aug 1, 2025 Accepting new patients
California Orthopedics & Spine Inc Orthopaedic Surgery CurrentSince Jan 1, 2013 Accepting new patients
Bridger Orthopedics and Sports Medicine, PC Orthopaedic Surgery CurrentSince Sep 1, 2019 Accepting new patients
Regents of the Univ of Ca Past Accepting new patients
Regents of the University of California Past Accepting new patients

Locations

18 Bon Air Rd
Larkspur, CA 94939
Phone (415) 927-5300

2 Bon Air Rd
Ste 120
Larkspur, CA 94939
Phone (415) 496-2812

4860 Y St
Sacramento, CA 95817
Phone (916) 734-2700

4868 X St
Ste 3D
Sacramento, CA 95817
Phone (916) 734-2700

4868 X St
Ste 3E
Sacramento, CA 95817

101 Frank Rd
Belgrade, MT 59714
Phone (406) 388-7229

1450 Ellis St
Ste 201
Bozeman, MT 59715
Phone (406) 522-1144

3400 Laramie Dr
Bozeman, MT 59718
Phone (406) 404-6983

30 MT Highway 91 S
Dillon, MT 59725
Phone (406) 414-5070

320 Alpenglow Ln
Livingston, MT 59047
Phone (406) 222-3541

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/12906/brand/1/csg/1/fhir/r4

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564444800000",
    "number": "1013093327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2920 JACKSON ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941151007",
            "telephone_number": "661-406-6882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 PARNASSUS AVE",
            "address_2": "MU 320W",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941432203",
            "telephone_number": "415-476-6043"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "320 Alpenglow Ln",
            "address_purpose": "LOCATION",
            "city": "Livingston",
            "state": "MT",
            "postal_code": "590478506",
            "country_code": "US",
            "telephone_number": "406-587-0122",
            "fax_number": "844-656-2480",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KENNEDY",
        "first_name": "ABBEY",
        "middle_name": "LYNN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-29",
        "last_updated": "2019-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "A11548",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.