NPIMap

Individual provider Active NPI

Patrick R Kenny, DO

  • Gastroenterology Physician
  • Lynchburg, VA
National Provider Identifier
1174509491
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
0102204930 Issued in VA
Practice address
121 Nationwide Dr
Lynchburg, VA 24502-4272
Phone
(434) 384-1862
Fax
(434) 384-7704
NPI assigned
Dec 19, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X DOS-1001 HI
Gastroenterology Physician 207RG0100X 0102204930 VA Primary

Addresses

Primary practice location

121 Nationwide Dr
Lynchburg, VA 24502-4272

Mailing address

121 Nationwide Dr
Lynchburg, VA 24502-4272
Phone (434) 384-1862

Other practice location 1

2828 Paa St
Honolulu, HI 96819-4430
Phone (808) 432-8086

Other identifiers 1

IdentifierTypeStateIssuer
1174509491MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171020001157 VA Practitioner - Gastroenterology 1850536566 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gastroenterology Assoc of Central Virginia Inc.Group PAC ID 1951331131, 23 clinicians

Practice addresses (Care Compare)

121 Nationwide Dr
Suite a
Lynchburg, VA 24502-4272
Phone 4343841862643

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
92.67 of 100Reported as group
Quality
90.58
Promoting interoperability
98
Improvement activities
40
Cost
86.66

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy237
Upper gastrointestinal (GI) endoscopy for acid reflux306

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1001HIMDAcupuncturist
DOS-1001HIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gastroenterology Asscoaites of Central VA Ambulatory Health Care Current Accepting new patients
Gastroenterology Assoc of Central Virginia Inc Gastroenterology CurrentSince Nov 1, 2017 Accepting new patients

Locations

121 Nationwide Dr
Lynchburg, VA 24502
Phone (434) 384-1862

121 Nationwide Dr
Ste A
Lynchburg, VA 24502
Phone (434) 384-1862

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 and National Provider Directory roles.

Hospital & facility affiliations 8

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

NPI Registry JSON

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

{
    "created_epoch": "1134950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1174509491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 NATIONWIDE DR",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245024272",
            "telephone_number": "434-384-1862",
            "fax_number": "434-384-7704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 NATIONWIDE DR",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245024272",
            "telephone_number": "434-384-1862",
            "fax_number": "434-384-7704"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2828 Paa St",
            "address_purpose": "LOCATION",
            "city": "Honolulu",
            "state": "HI",
            "postal_code": "968194430",
            "country_code": "US",
            "telephone_number": "808-432-8086",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KENNY",
        "first_name": "PATRICK",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-19",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "HI",
            "license": "DOS-1001",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "VA",
            "license": "0102204930",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1174509491",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynchburg, VA

Sources for this page

Verify at the official NPI Registry.