Active NPI
Julia Anne Kenniston, MD
- Orthopaedic Hand Surgery Physician
- Plymouth, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Hand Surgery Physician
- License
- 247594
- Practice address
- 41 Resnik Rd
Plymouth, MA 02360-4842 - Phone
- (781) 934-2400
- Fax
- (508) 746-3930
- NPI assigned
- Dec 12, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | MT185924 | PA | |
| Orthopaedic Hand Surgery Physician | 207XS0106X | 13225 | RI | |
| Orthopaedic Hand Surgery Physician | 207XS0106X | 247594 | MA | Primary |
Addresses
Primary practice location
41 Resnik Rd
Plymouth, MA 02360-4842
Mailing address
95 Tremont St
Suite One
Duxbury, MA 02332-4738
Phone (781) 934-2400
Other practice location 1
290 Route 130
Sandwich, MA 02563-2366
Phone (781) 934-2400
Other practice location 2
95 Tremont St Ste 1
Duxbury, MA 02332-4738
Phone (781) 934-2400
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Orthopedic Surgery
- Education
- Tufts University School of Medicine, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
290 Route 130
Sandwich, MA 02563-2366
Phone 78193424001204
41 Resnik Rd
Plymouth, MA 02360-4842
41 Resnik Rd
Plymouth, MA 02360-5721
Phone 78193424001204
95 Tremont St
Suite 1
Duxbury, MA 02332-4738
Phone 78193424001204
Hospital & facility affiliations
- Bayada Home Health Care Inc
- Beth Israel Deaconess Hospital Plymouth
- Cape Cod Hospital
- Falmouth Hospital
- Spaulding Rehabilitation Hospital - Cape Cod
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Hip replacement | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MT185924 | PA | MD | Orthopaedic Surgery Physician |
| 13225 | RI | MD | Orthopaedic Hand Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Plymouth Bay Orthopedic Associates Inc. | Orthopaedic Surgery | Current | Accepting new patients |
Locations
95 Tremont St
Ste 1
Duxbury, MA 02332
Phone (781) 934-2400
41 Resnik Rd
Plymouth, MA 02360
Phone (781) 934-2400
290 Route 130
Sandwich, MA 02563
Phone (508) 833-2255
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/CEIGAA/Endpoint/CEIGAA
- jkenniston252997@direct.bilh.masshiway.net
Ownership & related parties
All facility ownership & control disclosures 2
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Beth Israel Deaconess Hospital Plymouth Inc | Hospital | Corporate Director | Sep 19, 2023 |
| Beth Israel Deaconess Hospital Plymouth Inc | Hospital | Corporate Director | Sep 19, 2023 |
Owned or controlled facilities with NPI records 2
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
- Psychiatric Hospital Unit
- Plymouth, MA
- NPI 1023284924
Corporate Director
-
- General Acute Care Hospital
- Plymouth, MA
- NPI 1043299001
Corporate Director
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Orthopaedic Surgery Physician
- Duxbury, MA
- NPI 1548281488
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Plymouth, MA
- NPI 1366481293
-
- Home Health Agency
- South Easton, MA
- NPI 1811257694
-
- General Acute Care Hospital
- Plymouth, MA
- NPI 1043299001
-
- General Acute Care Hospital
- Hyannis, MA
- NPI 1114984671
-
- General Acute Care Hospital
- Falmouth, MA
- NPI 1336106806
-
- Rehabilitation Hospital
- E Sandwich, MA
- NPI 1265489736
Inpatient rehabilitation facility
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165881600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1590969600000",
"number": "1043370604",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "95 TREMONT ST",
"address_2": "SUITE ONE",
"city": "DUXBURY",
"state": "MA",
"postal_code": "023324738",
"telephone_number": "781-934-2400",
"fax_number": "781-934-0001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "41 RESNIK RD",
"city": "PLYMOUTH",
"state": "MA",
"postal_code": "023604842",
"telephone_number": "781-934-2400",
"fax_number": "508-746-3930"
}
],
"practiceLocations": [
{
"address_1": "290 Route 130",
"address_purpose": "LOCATION",
"city": "Sandwich",
"state": "MA",
"postal_code": "025632366",
"country_code": "US",
"telephone_number": "781-934-2400",
"fax_number": "508-746-3930",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "95 Tremont St Ste 1",
"address_purpose": "LOCATION",
"city": "Duxbury",
"state": "MA",
"postal_code": "023324738",
"country_code": "US",
"telephone_number": "781-934-2400",
"fax_number": "508-746-3930",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KENNISTON",
"first_name": "JULIA",
"middle_name": "ANNE",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-12",
"last_updated": "2020-06-01",
"certification_date": "2020-06-01",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "PA",
"license": "MT185924",
"primary": false
},
{
"code": "207XS0106X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Hand Surgery",
"state": "RI",
"license": "13225",
"primary": false
},
{
"code": "207XS0106X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Hand Surgery",
"state": "MA",
"license": "247594",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Plymouth, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.