Carlos C Kennedy, MD

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

0101236797 Issued in VA

Practice address

2819 N Parham Rd Ste 100
Richmond, VA 23294-4425

Phone

(804) 288-9466

Fax

(804) 288-9326

NPI assigned

Jul 13, 2006

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 DC, VA, MO, GA4 enrollments

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 4

Specialty

Orthopedic Surgery

Education

Uniformed Services Uhs Fe Hebert School of Med, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Synergy Surgicalists LLCGroup PAC ID 0244553105, 24 clinicians

Chippenham and Johnston-Willis Sports Medicine, LLCGroup PAC ID 5698711356, 9 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Amedisys Home Health Care Home health agency, Augusta, GA, CCN 117081
• Doctors Hospital Hospital, Augusta, GA, CCN 110177
• CJW Medical Center Hospital, Richmond, VA, CCN 490112

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: carlos.kennedy@hca6.eclinicaldirectplus.com
• Direct secure messaging: ckennedy219186@direct.deaconess.com

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.

• Chippenham and Johnston-Willis Sports Medicine, LLC

  • Sports Medicine (Family Medicine) Physician
  • North Chesterfield, VA
  • NPI 1740229608

  Multi-Specialty

  Medicare reassignment Care Compare group NPD
• Synergy Surgicalists LLC

  • Orthopaedic Surgery Physician
  • North Dartmouth, MA
  • NPI 1114334422

  GA, VA

  Medicare reassignment Care Compare group
• Orthovirginia Inc.

  • Multi-Specialty Clinic/Center
  • Fairfax, VA
  • NPI 1588066740

  DC

  Medicare reassignment NPD
• Mercy Clinic Trauma and General Surgery, LLC

  • Trauma Surgery Physician
  • Saint Louis, MO
  • NPI 1699825695

  Multi-Specialty

  Medicare reassignment NPD
• Orthovirginia, Inc

  • Multi-Specialty Clinic/Center
  • Reston, VA
  • NPI 1205185766
  NPD
• Orthovirginia, Inc

  • Physical Medicine & Rehabilitation Physician
  • Arlington, VA
  • NPI 1376411413

  Multi-Specialty

  NPD

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

• Chippenham & Johnston-Willis Hospitals Inc

  • General Acute Care Hospital
  • Richmond, VA
  • NPI 1598708513
  Care Compare affiliation
• Amedisys Georgia, L.L.C.

  • Home Health Agency
  • Augusta, GA
  • NPI 1952359705
  Care Compare affiliation
• Doctors Hospital of Augusta LLC

  • General Acute Care Hospital
  • Augusta, GA
  • NPI 1912951963
  Care Compare affiliation

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611619200000",
    "number": "1104841857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "213 MAMA SANDY ST",
            "city": "PITI",
            "state": "GU",
            "postal_code": "969155532",
            "telephone_number": "671-344-9315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2819 N PARHAM RD STE 100",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232944425",
            "telephone_number": "804-288-9466",
            "fax_number": "804-288-9326"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "515 Read St",
            "address_purpose": "LOCATION",
            "city": "Evansville",
            "state": "IN",
            "postal_code": "477101739",
            "country_code": "US",
            "telephone_number": "812-424-9291",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4011 Gateway Blvd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Newburgh",
            "state": "IN",
            "postal_code": "476308947",
            "country_code": "US",
            "telephone_number": "812-424-9291",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "PSC 490",
            "address_2": "Box 9005",
            "address_purpose": "LOCATION",
            "city": "FPO",
            "state": "AP",
            "postal_code": "96538",
            "country_code": "US",
            "telephone_number": "671-344-9315",
            "country_name": "United States",
            "address_type": "MIL"
        }
    ],
    "basic": {
        "last_name": "KENNEDY",
        "first_name": "CARLOS",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-13",
        "last_updated": "2021-01-26",
        "certification_date": "2021-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "IN",
            "license": "01083917A",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "VA",
            "license": "0101236797",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chelsie Lorraine Kenley, PT, DPT
• John Kenna
• Allisyn Kennedy, PHARMD
• Annie Kopczeski-Wright Kennedy, LCSW
• Beth Anne Kennedy, AU.D.
• Dawn G Kennedy
• Jason Atkins Kennedy, DC
• Kaitlyn Kennedy, PHARMD
• Michael Peter Kennedy, DDS
• Rachel Miles Kennedy, PA

• Orthopaedic Surgery Physician in Richmond, VA
• Providers in Richmond, VA by specialty
• Orthopaedic Surgery Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2021; 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.