Robert Moffatt Kennedy IV, MD

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

2012-01137 Issued in NC

Practice address

1601 Brenner Ave
Radiology Dept
Salisbury, NC 28144-2515

Phone

(704) 638-9000

NPI assigned

May 17, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in NC, SC2 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 2

Specialty

Diagnostic Radiology

Education

University of South Carolina School of Medicine, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Triad Radiology Associates PLLCGroup PAC ID 8729086194, 75 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Novant Health Forsyth Medical Center Hospital, Winston-Salem, NC, CCN 340014
• Northern Regional Hospital Hospital, Mount Airy, NC, CCN 340003
• Ashe Memorial Hospital Hospital, Jefferson, NC, CCN 341325
• Novant Health Thomasville Medical Center Hospital, Thomasville, NC, CCN 340085

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Quality

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Triad Radiology Associates PLLC

  • Diagnostic Radiology Physician
  • Winston Salem, NC
  • NPI 1659485001

  SC

  Medicare reassignment Care Compare group NPD
• Asheville Open MRI LLC

  dba Open MRI of Asheville

  • Diagnostic Radiology Physician
  • Asheville, NC
  • NPI 1750349015
  NPD
• Novant Health Enterprises Imaging, LLC

  dba Novant Health Imaging Mallard Creek

  • Diagnostic Radiology Physician
  • Charlotte, NC
  • NPI 1043005689
  NPD
• Novant Health Enterprises Imaging, LLC

  dba Novant Health Imaging Laurinburg

  • Diagnostic Radiology Physician
  • Laurinburg, NC
  • NPI 1144015777
  NPD
• Novant Health Enterprises Imaging, LLC

  dba Novant Health Imaging Randolph

  • Diagnostic Radiology Physician
  • Charlotte, NC
  • NPI 1154116796
  NPD
• Novant Health Enterprises Imaging, LLC

  dba Novant Health Imaging Conlan Circle

  • Diagnostic Radiology Physician
  • Charlotte, NC
  • NPI 1235924846
  NPD
• Novant Health Enterprises Imaging, LLC

  dba Novant Health Imaging Hamptons Park

  • Diagnostic Radiology Physician
  • Huntersville, NC
  • NPI 1386439909
  NPD
• Novant Health Enterprises Imaging, LLC

  dba Novant Health Imaging Copperfield

  • Diagnostic Radiology Physician
  • Concord, NC
  • NPI 1447045067
  NPD
• Novant Health Enterprises Imaging, LLC

  dba Novant Health Imaging Village Point

  • Diagnostic Radiology Physician
  • Clemmons, NC
  • NPI 1457146060
  NPD
• Novant Health Enterprises Imaging, LLC

  dba Novant Health Imaging Caldwell

  • Diagnostic Radiology Physician
  • Belmont, NC
  • NPI 1578358180
  NPD
• Novant Health Enterprises Imaging, LLC

  dba Novant Health Imaging Shelby

  • Diagnostic Radiology Physician
  • Shelby, NC
  • NPI 1629863261
  NPD
• Novant Health Enterprises Imaging, LLC

  dba Novant Health Imaging Welton

  • Diagnostic Radiology Physician
  • Mooresville, NC
  • NPI 1649065285
  NPD

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

• Ashe Memorial Hospital Inc

  • Critical Access Hospital
  • Jefferson, NC
  • NPI 1376671370
  Care Compare affiliation
• Forsyth Memorial Hospital, Inc.

  dba Novant Health Forsyth Medical Center

  • General Acute Care Hospital
  • Winston Salem, NC
  • NPI 1447200233
  Care Compare affiliation
• Northern Hospital of Surry County

  dba North Hospital of Surry County

  • General Acute Care Hospital
  • Mount Airy, NC
  • NPI 1366449282
  Care Compare affiliation
• Novant Health Thomasville Medical Center, LLC

  dba Novant Health Thomasville Medical Center

  • General Acute Care Hospital
  • Thomasville, NC
  • NPI 1801848767
  Care Compare affiliation

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688342400000",
    "number": "1285841130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19745 VALIANT WAY",
            "city": "CORNELIUS",
            "state": "NC",
            "postal_code": "280316364",
            "telephone_number": "804-221-8794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 BRENNER AVE",
            "address_2": "RADIOLOGY DEPT",
            "city": "SALISBURY",
            "state": "NC",
            "postal_code": "281442515",
            "telephone_number": "704-638-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNEDY",
        "first_name": "ROBERT",
        "middle_name": "MOFFATT",
        "name_prefix": "Dr.",
        "name_suffix": "IV",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-17",
        "last_updated": "2023-07-03",
        "certification_date": "2023-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NC",
            "license": "182390",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME109476",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "VA",
            "license": "0116018770",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NC",
            "license": "2012-01137",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jared Robert Kelly, PA-C
• Lisa T Kelly, R.N.
• Aaron Kemmling
• Malinda K Kemp, MA CCC-SLP
• Charles Kennedy, D.O.
• Stacy D. Kennedy, M.D.
• Kimberly Nicole Kennerly, PT, DPT
• Jaime E Kent, LAT
• Eugenia Kes, NP
• Carly Kesler, PHARMD

• Diagnostic Radiology Physician in Salisbury, NC
• Providers in Salisbury, NC by specialty
• Diagnostic Radiology Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2023; 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.