Active NPI
Kennedy James Ringelberg, MD
- Orthopaedic Surgery Physician
- Jacksonville, FL
National Provider Identifier
1083206403
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 0101276267
- Practice address
- 2080 Child St Dept 5000
Jacksonville, FL 32214-5000 - Phone
- (414) 699-8422
- NPI assigned
- Feb 8, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 0101276267 | VA | Primary |
Addresses
Primary practice location
2080 Child St Dept 5000
Jacksonville, FL 32214-5000
Mailing address
2080 Child St Dept 5000
Jacksonville, FL 32214-5000
Phone (414) 699-8422
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101276267 | VA | MD | General Practice Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1612742400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785888000000",
"number": "1083206403",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2080 CHILD ST DEPT 5000",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322145000",
"telephone_number": "414-699-8422"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2080 CHILD ST DEPT 5000",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322145000",
"telephone_number": "414-699-8422"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RINGELBERG",
"first_name": "KENNEDY",
"middle_name": "JAMES",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-02-08",
"last_updated": "2026-08-05",
"certification_date": "2026-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "VA",
"license": "0101276267",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.