Active NPI
David M Kennedy, M.D.
- Internal Medicine Physician
- Austintown, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 35060712
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0857970 | Medicaid | OH |
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
Enrollment records 1
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
Practice addresses (Care Compare)
9500 Euclid Ave
Cleveland, OH 44195-0001
Phone (216) 444-5433
Hospital & facility affiliations
- Cleveland Clinic
- Surgical Hospital at Southwoods
- MH St Elizabeth Youngstown Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35060712 | OH | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Medical Associates | Internal Medicine | Current | Accepting new patients |
| Steward Medical Group Inc. | Internal Medicine | Current | Accepting new patients |
| The Cleveland Clinic Foundation | Current | Accepting new patients | |
| Steward Medical Group, Inc | Current | 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.
-
- General Acute Care Hospital
- Cleveland, OH
- NPI 1679525919
-
- Internal Medicine Physician
- Brookfield, OH
- NPI 1902347438
-
- Internal Medicine Physician
- Youngstown, OH
- NPI 1649465733
-
- Specialist
- Brighton, MA
- NPI 1356654495
-
- Internal Medicine Physician
- Youngstown, OH
- NPI 1487694865
-
- General Acute Care Hospital
- Warren, OH
- NPI 1053844761
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Youngstown, OH
- NPI 1548296106
-
- General Acute Care Hospital
- Cleveland, OH
- NPI 1679525919
-
- Special Hospital
- Youngstown, OH
- NPI 1740398890
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2014; 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.