Charles A Kennedy, MD

Primary specialty

Infectious Disease PhysicianTaxonomy code 207RI0200X

License

29382 Issued in KY

Practice address

1720 Nicholasville Rd
Suite 602
Lexington, KY 40503-1475

Phone

(859) 277-4005

Fax

(859) 278-2507

NPI assigned

Aug 10, 2005

Last updated

Mar 4, 2008By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in KY

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 1

Merit-based Incentive Payment System (MIPS)

Final score

88.25 of 100Reported as group

Quality

71.54

Improvement activities

40

Cost

73.32

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Lexington Infectious Disease Consultants PSC

  • Infectious Disease Physician
  • Lexington, KY
  • NPI 1922158294
  Medicare reassignment NPD

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

{
    "created_epoch": "1123632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204588800000",
    "number": "1033110150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1720 NICHOLASVILLE RD",
            "address_2": "SUITE 602",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405031475",
            "telephone_number": "859-277-4005",
            "fax_number": "859-278-2507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1720 NICHOLASVILLE RD",
            "address_2": "SUITE 602",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405031475",
            "telephone_number": "859-277-4005",
            "fax_number": "859-278-2507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNEDY",
        "first_name": "CHARLES",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-10",
        "last_updated": "2008-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "KY",
            "license": "29382",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64293822",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "440001216",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Benjamin Corum Kennard, PHARMD, M.S.
• Allison Kenneally
• Andrew James Kennedy, MD
• Caleb Shane Kennedy
• Carrie Kennedy, LPCC
• Claudia Kennedy
• Elizabeth Jane Kennedy, PAC
• Julie Lynn Kennedy
• Kara Ann Kennedy, D.O.
• Kenneth Kennedy, PHARMD

• Infectious Disease Physician in Lexington, KY
• Providers in Lexington, KY by specialty
• Infectious Disease Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.