Colin Matthew Kenny, DO

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

Q5004 Issued in TX

Practice address

36475 Five Mile Rd
St. Mary Mercy Hospital
Livonia, MI 48154

Phone

(515) 203-5731

NPI assigned

Apr 4, 2012

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 TX

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 1

Specialty

Emergency Medicine

Education

Lincoln Memorial University Medical Department, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Gulf Coast Emergency Physicians, PLLCGroup PAC ID 6204280480, 108 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Christus Spohn Hospital Corpus Christi Hospital, Corpus Christi, TX, CCN 450046

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

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.

• Gulf Coast Emergency Physicians, PLLC

  • Emergency Medicine Physician
  • Alice, TX
  • NPI 1972286920

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Conner Emergency Medicine Associates, PA

  • Emergency Medicine Physician
  • Corpus Christi, TX
  • NPI 1013415934

  Single Specialty

  Medicare reassignment NPD
• Guadalupe Emergency Medicine Associates, PA

  • Emergency Medicine Physician
  • Alice, TX
  • NPI 1114425220

  Single Specialty

  Medicare reassignment NPD

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

• Christus Spohn Health System Corporation

  • General Acute Care Hospital
  • Corpus Christi, TX
  • NPI 1689641680
  Care Compare affiliation

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

{
    "created_epoch": "1333497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1515369600000",
    "number": "1174889158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 OLEANDER AVE",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784041731",
            "telephone_number": "515-203-5731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36475 FIVE MILE RD",
            "address_2": "ST. MARY MERCY HOSPITAL",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "48154",
            "telephone_number": "515-203-5731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNY",
        "first_name": "COLIN",
        "middle_name": "MATTHEW",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-04-04",
        "last_updated": "2018-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "Q5004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jade Kennedy
• Jayne Kennedy, CRNA
• Michele Kennedy, BSW
• Savannaugh Kennedy, LLMSW
• Kenneth a. Velick DDS PC
• Lauren Irene Kenny
• Kristin Kentros, R.N.
• Kevin Keogh, DO
• Michael Kepes
• Megan Nicole Keppen, DPT

• Emergency Medicine Physician in Livonia, MI
• Providers in Livonia, MI by specialty
• Emergency Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2018; 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.