Brian Lee Kennedy, P.A.

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

5601003698 Issued in MI

Practice address

4848 McLeod Dr E
Saginaw, MI 48604-2839

Phone

(989) 793-6200

Fax

(989) 793-9997

NPI assigned

Oct 4, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dialysis Associates, P.C.Group PAC ID 1850386079, 6 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

91.16 of 100Reported as group

Quality

71.09

Promoting interoperability

100

Improvement activities

40

Cost

76.68

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: bkennedy1379@direct.covenanthealthcare.com

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.

• Dialysis Associates, P.C.

  • Specialist
  • Saginaw, MI
  • NPI 1467549618
  Medicare reassignment Care Compare group
• Dialysis Associates P.C.

  • Specialist
  • Saginaw, MI
  • NPI 1336637719
  NPD
• Mymichigan Medical Center Saginaw

  • Neurology Physician
  • Saginaw, MI
  • NPI 1417427352
  NPD (past)
• Mymichigan Medical Center Saginaw

  • Cardiovascular Disease Physician
  • Saginaw, MI
  • NPI 1467736132
  NPD (past)

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276819200000",
    "number": "1295820264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4848 MCLEOD DR E",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486042839",
            "telephone_number": "989-793-6200",
            "fax_number": "989-793-9997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4848 MCLEOD DR E",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486042839",
            "telephone_number": "989-793-6200",
            "fax_number": "989-793-9997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNEDY",
        "first_name": "BRIAN",
        "middle_name": "LEE",
        "name_prefix": "Mr.",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-04",
        "last_updated": "2010-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MI",
            "license": "5601003698",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE NUMBER",
            "identifier": "0G36045",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anjanette Dorothy Kemp, DO
• Grace Ann Kemp, LLBSW
• Nava Kendall, M.D.
• Samantha Kendall
• Margaret Kenel, OTR
• Keri Ann Kennedy, MSW
• Michael Arthur Kennedy, PT
• Sarah Kennedy, LMSW
• Bailey Kennelly
• John E Kennelly

• Medical Physician Assistant in Saginaw, MI
• Providers in Saginaw, MI by specialty
• Medical Physician Assistant in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 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.

Verify at the official NPI Registry.