Keith S Kendall, DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

POD1057 Issued in ME

Practice address

700 Mount Hope Ave Ste 620
Bangor, ME 04401-5671

Phone

(207) 947-2220

Fax

(207) 947-4073

NPI assigned

Mar 8, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in ME

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

Other, 2000

Medicare assignment

May accept Medicare assignment

Group practices

Penobscot Indian Nation Finance OfficeGroup PAC ID 1850324542, 9 clinicians

Acadia Foot and Ankle PAGroup PAC ID 2961464680, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• St Joseph Hospital Hospital, Bangor, ME, CCN 200001
• Northern Light Eastern Maine Medical Center Hospital, Bangor, ME, CCN 200033
• Northern Light Maine Coast Hospital Hospital, Ellsworth, ME, CCN 200050

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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.

• Acadia Foot & Ankle PA

  dba Acadia Foot & Ankle

  • Podiatrist
  • Bangor, ME
  • NPI 1326121294
  Medicare reassignment Care Compare group NPD Authorized official
• Penobscot Indian Nation Finance Office

  dba Penobscot Nation Health Department

  • Rural Health Clinic/Center
  • Indian Island, ME
  • NPI 1639139140
  Care Compare group NPD (past)
• Delaware Medical Group, LLC

  • Internal Medicine Physician
  • Wilmington, DE
  • NPI 1376581363
  NPD (past)
• Luis M Garcia, Jr DPM

  dba Garcia Podiatry Group, LLC

  • Podiatrist
  • Wilmington, DE
  • NPI 1740261551
  NPD (past)

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

• Eastern Maine Medical Center

  • General Acute Care Hospital
  • Bangor, ME
  • NPI 1790789147
  Care Compare affiliation
• Maine Coast Regional Health Facilities

  dba Northern Light Maine Coast Hospital

  • General Acute Care Hospital
  • Ellsworth, ME
  • NPI 1740249739
  Care Compare affiliation
• St. Joseph Hospital

  • General Acute Care Hospital
  • Bangor, ME
  • NPI 1154321545
  Care Compare affiliation

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

{
    "created_epoch": "1141776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556236800000",
    "number": "1164490009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 MOUNT HOPE AVE STE 620",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044015671",
            "telephone_number": "207-947-2220",
            "fax_number": "207-947-4073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 MOUNT HOPE AVE STE 620",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044015671",
            "telephone_number": "207-947-2220",
            "fax_number": "207-947-4073"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "700 Mount Hope Ave Ste 620",
            "address_purpose": "LOCATION",
            "city": "Bangor",
            "state": "ME",
            "postal_code": "04401",
            "country_code": "US",
            "telephone_number": "207-947-2220",
            "fax_number": "207-947-4073",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KENDALL",
        "first_name": "KEITH",
        "middle_name": "S",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-08",
        "last_updated": "2019-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0000X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Sports Medicine",
            "state": "ME",
            "license": "POD 1057",
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "ME",
            "license": "POD 1057",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "ME",
            "license": "POD 1057",
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "ME",
            "license": "POD1057",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "431970899",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cavenaugh Kelly, OT
• Michaela Beatrie Kelly, PA-C
• Victor A Kelmenson, MD
• Courtney Kelsey, RN
• Kemet Health One LLC
• Patricia L. Kennedy, CRNA
• Catherine M Kenney, DPT
• Olena Kenney, CADC
• Darlene Marie Kenny
• Patricia Ann Kenny, LCSW

• Podiatrist in Bangor, ME
• Providers in Bangor, ME by specialty
• Podiatrist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2019; 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.