Individual provider Active NPI

David M Kennedy, M.D.

  • Internal Medicine Physician
  • Austintown, OH
National Provider Identifier
1235120288
Registry record updated Jan 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35060712 Issued in OH
Practice address
1450 S Canfield Niles Rd
Austintown, OH 44515
Phone
(330) 792-7495
Fax
(330) 792-7842
NPI assigned
Oct 31, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 35060712 OH Primary

Addresses

Primary practice location

1450 S Canfield Niles Rd
Austintown, OH 44515

Mailing address

1450 S Canfield Niles Rd
Austintown, OH 44515
Phone (330) 792-7485

Other identifiers 1

IdentifierTypeStateIssuer
0857970MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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

Enrollment IDStateProvider typePAC IDDetails
I20031211000847 OH Practitioner - Internal Medicine 1456257195 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Wright State University Boonshoft School of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cleveland ClinicGroup PAC ID 1850203555, 6,954 clinicians

Practice addresses (Care Compare)

9500 Euclid Ave
Cleveland, OH 44195-0001
Phone (216) 444-5433

Hospital & facility affiliations

  • Cleveland Clinic Hospital, Cleveland, OH, CCN 360180
  • Surgical Hospital at Southwoods Hospital, Youngstown, OH, CCN 360352
  • MH St Elizabeth Youngstown Hospital Hospital, Youngstown, OH, CCN 360064

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35060712OHMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Community Medical Associates Internal Medicine Current Accepting new patients
Steward Medical Group Inc. Internal Medicine CurrentSince May 1, 2017 Accepting new patients
The Cleveland Clinic Foundation CurrentSince Apr 10, 2025 Accepting new patients
Steward Medical Group, Inc CurrentSince May 1, 2017 Accepting new patients
Steward Trumbull Memorial Hospital, Inc. Past Accepting new patients
Devine and Kennedy, LLC Internal Medicine Past Accepting new patients

Locations

9500 Euclid Ave
Cleveland, OH 44195
Phone (216) 442-1270

6801 Brecksville Rd
Ste 20
Seven Hills, OH 44131
Phone (216) 445-3363

1350 E Market St
Warren, OH 44483
Phone (330) 841-5969

500 Gypsy Ln
Youngstown, OH 44504
Phone (330) 740-4572

1450 S Canfield Niles Rd
Youngstown, OH 44515
Phone (330) 270-2700

5170 Belmont Ave
Youngstown, OH 44505
Phone (330) 759-1080

Organizations & group practices 6

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 4

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": "1130716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389916800000",
    "number": "1235120288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1450 S CANFIELD NILES RD",
            "city": "AUSTINTOWN",
            "state": "OH",
            "postal_code": "44515",
            "telephone_number": "330-792-7485",
            "fax_number": "330-792-7842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1450 S CANFIELD NILES RD",
            "city": "AUSTINTOWN",
            "state": "OH",
            "postal_code": "44515",
            "telephone_number": "330-792-7495",
            "fax_number": "330-792-7842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNEDY",
        "first_name": "DAVID",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-31",
        "last_updated": "2014-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35060712",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0857970",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Austintown, OH

Sources for this page

Verify at the official NPI Registry.