Active NPI
Michael Gerald Kennedy, MD
- Orthopaedic Trauma Physician
- Natick, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Trauma Physician
- License
- 45134
- Practice address
- 6 Union St
Natick, MA 01760-4784 - Phone
- (508) 655-5115
- Fax
- (508) 650-9351
- NPI assigned
- Jul 7, 2006
- Last updated
- Dec 1, 2010
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Orthopaedic Trauma Physician | 207XX0801X | 45134 | MA | Primary |
Addresses
Primary practice location
6 Union St
Natick, MA 01760-4784
Mailing address
6 Union St
Natick, MA 01760-4784
Phone (508) 655-5115
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- 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
- Orthopedic Surgery
- Education
- Other, 1974
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
6 Union St
Natic, MA 01760-4784
Phone (508) 655-5115
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Michael G Kennedy MD PC | Current | Accepting new patients | |
| Boston Advanced Medicine Inc | Past | Accepting new patients |
Locations
6 Union St
Natick, MA 01760
Phone (508) 655-5115
Organizations & group practices 2
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.
-
- Sports Medicine (Orthopaedic Surgery) Physician
- Natick, MA
- NPI 1659492858
-
- Pain Medicine Physician
- Waltham, MA
- NPI 1427103258
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Concord, MA
- NPI 1922103357
-
dba MetroWest Medical Center
- General Acute Care Hospital
- Framingham, MA
- NPI 1740252592
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152230400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1291161600000",
"number": "1295767614",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6 UNION ST",
"city": "NATICK",
"state": "MA",
"postal_code": "017604784",
"telephone_number": "508-655-5115",
"fax_number": "508-650-9351"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6 UNION ST",
"city": "NATICK",
"state": "MA",
"postal_code": "017604784",
"telephone_number": "508-655-5115",
"fax_number": "508-650-9351"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KENNEDY",
"first_name": "MICHAEL",
"middle_name": "GERALD",
"name_prefix": "Mr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-07",
"last_updated": "2010-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "207XX0801X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Orthopaedic Trauma",
"state": "MA",
"license": "45134",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Natick, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2010; 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.