Kennedy Schneider-Tran, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

1207127 Issued in MA

Practice address

195 Collyer St Ste 201
Providence, RI 02904-1869

Phone

(401) 272-7799

NPI assigned

Jun 28, 2023

Last updated

Feb 16, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Mr. Kennedy Tran Former name

Medicare fee-for-service enrollment

Enrolled in MA, RI2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Physician Assistant

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Brown Urology, Inc.Group PAC ID 7810254513, 32 clinicians

Middlesex Gastroenterolgy PCGroup PAC ID 6800819566, 12 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Emerson Hospital - Hospital, W Concord, MA, CCN 220084
• The Miriam Hospital Hospital, Providence, RI, CCN 410012

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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.

• Middlesex Gastroenterolgy,P.C.

  • Specialist
  • Acton, MA
  • NPI 1992845911
  Medicare reassignment Care Compare group NPD
• Brown Urology, Inc.

  • Urology Physician
  • Providence, RI
  • NPI 1467973099
  Medicare reassignment Care Compare group
• Pratt Urology Associates, Inc

  dba Pratt Associates

  • Urology Physician
  • Boston, MA
  • NPI 1497795025
  Medicare reassignment
• Brown Urology, Inc.

  dba NorthMain Radiation Oncology

  • Radiation Oncology Physician
  • Providence, RI
  • NPI 1184303984
  NPD
• Brown Urology, Inc.

  dba Collyer Street Operatory

  • Ambulatory Surgical Clinic/Center
  • Providence, RI
  • NPI 1336658145
  NPD
• Middlesex Gasteroentology PC

  • Anatomic Pathology & Clinical Pathology Physician
  • Acton, MA
  • NPI 1316424591
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• The Miriam Hospital

  • General Acute Care Hospital
  • Providence, RI
  • NPI 1487649430
  Care Compare affiliation
• Emerson Hospital

  • General Acute Care Hospital
  • Concord, MA
  • NPI 1922103357
  Care Compare affiliation

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

{
    "created_epoch": "1687910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708041600000",
    "number": "1043997513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "195 COLLYER ST STE 201",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029041869",
            "telephone_number": "401-272-7799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "195 COLLYER ST STE 201",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029041869",
            "telephone_number": "401-272-7799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHNEIDER-TRAN",
        "first_name": "KENNEDY",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-06-28",
        "last_updated": "2024-02-16",
        "certification_date": "2024-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MA",
            "license": "1207127",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KENNEDY",
            "last_name": "TRAN",
            "prefix": "MR.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Evan Jon Schmidt, RN
• Scott T Schmidt, MD
• Michael Jerald Schmitz, DPT
• Mark S. Schnabel, NP
• Michael Schnapper, MD
• Elizabeth Schneider
• Franklin Schneider, MD
• Gisela Schneider, MA, CAGS LMHC
• Lindsay W Schnetzer, PH.D.
• Jason Schnetzler, M.D.

• Physician Assistant in Providence, RI
• Providers in Providence, RI by specialty
• Physician Assistant in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2024; 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.