Individual provider Active NPI

Emily I Kenny, MD

  • Obstetrics & Gynecology Physician
  • Scarborough, ME
National Provider Identifier
1245550144
Registry record updated Aug 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
4301105931 Issued in MI
Practice address
71 US Route 1 Ste a
Scarborough, ME 04074-7168
Phone
(207) 885-8400
Fax
(207) 885-8499
NPI assigned
Jun 3, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 4301105931 MI Primary

Addresses

Primary practice location

71 US Route 1 Ste a
Scarborough, ME 04074-7168

Mailing address

71 US Route 1 Ste a
Scarborough, ME 04074-7168
Phone (207) 885-8400

Other practice location 1

500 Campus Dr
Hancock, MI 49930-1452
Phone (906) 483-1000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME
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
I20170712002699 ME Practitioner - Obstetrics/Gynecology 6800020553 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Michigan State University College of Human Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Coastal Women'S HealthcareGroup PAC ID 4385738087, 17 clinicians

Practice addresses (Care Compare)

71 US Route 1
Suite a
Scarborough, ME 04074-7168
Phone (207) 885-8400

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Maine Medical Partners Obstetrics & Gynecology CurrentSince Dec 1, 2019 Accepting new patients
Coastal Women'S Healthcare CurrentSince Aug 1, 2017 Accepting new patients
Maine Medical Partners CurrentSince Dec 1, 2019 Accepting new patients
Mainehealth Past Accepting new patients

Locations

887 Congress St
Ste 200
Portland, ME 04102
Phone (207) 771-5549

22 Bramhall St
Portland, ME 04102
Phone (207) 662-2179

71 US Route 1
Ste A
Scarborough, ME 04074
Phone (207) 885-8400

Interoperability endpoints

  • Direct secure messaging: ekenny1@coastalwomenshealthcare.gwaydirect.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1275523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628467200000",
    "number": "1245550144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "71 US ROUTE 1 STE A",
            "city": "SCARBOROUGH",
            "state": "ME",
            "postal_code": "040747168",
            "telephone_number": "207-885-8400",
            "fax_number": "207-885-8499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "71 US ROUTE 1 STE A",
            "city": "SCARBOROUGH",
            "state": "ME",
            "postal_code": "040747168",
            "telephone_number": "207-885-8400",
            "fax_number": "207-885-8499"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "500 Campus Dr",
            "address_purpose": "LOCATION",
            "city": "Hancock",
            "state": "MI",
            "postal_code": "499301452",
            "country_code": "US",
            "telephone_number": "906-483-1000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KENNY",
        "first_name": "EMILY",
        "middle_name": "I",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-03",
        "last_updated": "2021-08-09",
        "certification_date": "2021-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MI",
            "license": "4301105931",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scarborough, ME

Sources for this page

Verify at the official NPI Registry.