Active NPI
Maura J Kennedy, MD
- Rheumatology Physician
- Mountain BRK, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rheumatology Physician
- License
- 00019186
- 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, 2023
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 00019186 | AL | MD | Rheumatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rheumatology Associates, P.C. | Rheumatology | Current | Accepting new patients |
| Montclair Rheumatology, PC | Rheumatology | Current | 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
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- 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.
-
- Rheumatology Physician
- Mountain BRK, AL
- NPI 1336355486
-
- Rheumatology Physician
- Birmingham, AL
- NPI 1710095104
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2023; 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.