Individual provider Active NPI

Maura J Kennedy, MD

  • Rheumatology Physician
  • Mountain BRK, AL
National Provider Identifier
1093821993
Registry record updated Aug 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
00019186 Issued in AL
Practice address
12 Office Park Cir
Mountain BRK, AL 35223-2521
Phone
(205) 933-0320
Fax
(205) 933-6400
NPI assigned
Aug 22, 2006
Last updated
Aug 29, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X 00019186 AL Primary

Addresses

Primary practice location

12 Office Park Cir
Mountain BRK, AL 35223-2521

Mailing address

PO Box 12366
Birmingham, AL 35202-2366
Phone (205) 780-7101

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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

Enrollment IDStateProvider typePAC IDDetails
I20100427000492 AL Practitioner - Rheumatology 4981731734 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Rheumatology
Education
Tufts University School of Medicine, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rheumatology Associates, P.CGroup PAC ID 7214920586, 10 clinicians

Practice addresses (Care Compare)

12 Office Park Cir
Mountain BRK, AL 35223-2521
Phone (205) 933-0320

Merit-based Incentive Payment System (MIPS)

Final score
86.11 of 100Reported as group
Quality
100
Promoting interoperability
100
Improvement activities
40
Cost
53.7

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
00019186ALMDRheumatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rheumatology Associates, P.C. Rheumatology CurrentSince Nov 1, 2018 Accepting new patients
Montclair Rheumatology, PC Rheumatology CurrentSince Nov 4, 1994 Accepting new patients

Locations

880 Montclair Rd
Ste 470
Birmingham, AL 35213
Phone (205) 591-2758

12 Office Park Cir
Mountain Brk, AL 35223
Phone (205) 933-0320

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: maura.kennedy.p1@direct.rabirmingham.nextgenshare.com

Organizations & group practices 2

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": "1156204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693267200000",
    "number": "1093821993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 12366",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352022366",
            "telephone_number": "205-780-7101",
            "fax_number": "205-206-8338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 OFFICE PARK CIR",
            "city": "MOUNTAIN BRK",
            "state": "AL",
            "postal_code": "352232521",
            "telephone_number": "205-933-0320",
            "fax_number": "205-933-6400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNEDY",
        "first_name": "MAURA",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-22",
        "last_updated": "2023-08-29",
        "certification_date": "2023-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "AL",
            "license": "00019186",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mountain BRK, AL

Sources for this page

Verify at the official NPI Registry.