Tommy Steven Kennedy, DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

PO4164 Issued in FL

Practice address

401 E Jackson St Ste 2340
Tampa, FL 33602-5226

Phone

(813) 751-2291

Fax

(813) 751-2294

NPI assigned

Apr 28, 2017

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

Barry University School of Podiatric Medicine, 2016

Medicare assignment

May accept Medicare assignment

Group practices

Podiatry Company LLCGroup PAC ID 5890103097, 20 clinicians

Pedirite Medical FL LLCGroup PAC ID 7113336843, 14 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• Pedirite Medical FL LLC

  • General Practice Physician
  • Debary, FL
  • NPI 1750962023
  Medicare reassignment Care Compare group NPD
• Podiatry Company LLC

  • Podiatrist
  • Cambridge, MD
  • NPI 1457931610

  FL

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1493337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604620800000",
    "number": "1104351956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 E JACKSON ST STE 2340",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336025226",
            "telephone_number": "813-751-2291",
            "fax_number": "813-751-2294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 E JACKSON ST STE 2340",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336025226",
            "telephone_number": "813-751-2291",
            "fax_number": "813-751-2294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNEDY",
        "first_name": "TOMMY",
        "middle_name": "STEVEN",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-04-28",
        "last_updated": "2020-11-06",
        "certification_date": "2020-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "FL",
            "license": "PO4164",
            "primary": true
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "MI",
            "license": "5901400350",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kennedy Medical Rehabiliton Center Inc.
• Benjamin Kennedy, MD
• Beth Ann Kennedy, ARNP
• Elizabeth Kennedy, BCBA
• Kassie Kennedy
• Allison Kennel-Besselieu, ARNP
• Susan E. Kennel, ARNP
• Kenneth D. Wurster Drugs, Inc.
• Kenneth M Mattos Ap LLC
• Kenneth P Pages MD PA

• Podiatrist in Tampa, FL
• Providers in Tampa, FL by specialty
• Podiatrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2020; 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.