Jeannie M Kenkare, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

042010 Issued in CT

Practice address

31 Old Route 7
Brookfield, CT 06804-1711

Phone

(203) 885-0808

Fax

(203) 885-0813

NPI assigned

Feb 9, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other names 1

• Jeannie Mody Former name

Medicare fee-for-service enrollment

Enrolled in CT, NY, MA3 enrollments

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 3

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/3082/brand/1/csg/22/fhir/r4

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.

• Urgent Care Medical Associates of Massachusetts, LLC

  • Urgent Care Clinic/Center
  • Brockton, MA
  • NPI 1659153203
  Medicare reassignment NPD Authorized official
• Urgent Care Medical of New York, LLC

  • Urgent Care Clinic/Center
  • Baldwin Place, NY
  • NPI 1154866879
  Medicare reassignment NPD Authorized official
• Urgent Care Medical Associates, LLC

  • Urgent Care Clinic/Center
  • Brookfield, CT
  • NPI 1730479254
  Medicare reassignment Authorized official
• Tristan Medical PC

  • Family Medicine Physician
  • Norton, MA
  • NPI 1154492700
  NPD
• Urgent Care of Newtown, LLC

  • Urgent Care Clinic/Center
  • Newtown, CT
  • NPI 1508205469
  NPD (past)
• Urgent Care of Ridgefield, LLC

  • Urgent Care Clinic/Center
  • Ridgefield, CT
  • NPI 1427344860
  NPD (past)
• WRK Ventures, LLC

  • Urgent Care Clinic/Center
  • Southbury, CT
  • NPI 1194993980
  NPD (past)

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

{
    "created_epoch": "1139443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741910400000",
    "number": "1245203231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 OLD ROUTE 7",
            "city": "BROOKFIELD",
            "state": "CT",
            "postal_code": "068041711",
            "telephone_number": "203-885-0808",
            "fax_number": "203-885-0813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 OLD ROUTE 7",
            "city": "BROOKFIELD",
            "state": "CT",
            "postal_code": "068041711",
            "telephone_number": "203-885-0808",
            "fax_number": "203-885-0813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENKARE",
        "first_name": "JEANNIE",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-09",
        "last_updated": "2025-03-14",
        "certification_date": "2025-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MA",
            "license": "266293",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "278792",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CT",
            "license": "042010",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JEANNIE",
            "last_name": "MODY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Arlene D Kalman, M.D.
• Jennifer Louise Kaloupek, ATC
• Karen Parish, LCSW, LLC
• Frederick Abraham Kayal, MD
• Lorraine Kelley, LCSW
• Koren Kermashek, LMSW
• Jin Hak Kim, L.AC
• Timothy King, DPT
• Cynthia Laura Kirkland, APRN
• Sarah Knechtle, MA

• Family Medicine Physician in Brookfield, CT
• Providers in Brookfield, CT by specialty
• Family Medicine Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2025; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.