Harry R Kennedy, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

19406 Issued in KY

Practice address

350 Hospital Way
Suite 100
Somerset, KY 42503-2872

Phone

(606) 451-2629

Fax

(606) 451-2641

NPI assigned

Feb 14, 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 6

Medicare fee-for-service enrollment

Enrolled in KY

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

Specialty

Internal Medicine

Education

University of Louisville School of Medicine, 1975

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lake Cumberland Regional Hospital LLCGroup PAC ID 7214909456, 43 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Lifeline Health Care of Pulaski Home health agency, Somerset, KY, CCN 187099
• Lake Cumberland Regional Hospital Hospital, Somerset, KY, CCN 180132

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: harry.kennedy.1@21269.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/21269/brand/3/csg/1/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.

• Lake Cumberland Regional Hospital LLC

  • Internal Medicine Physician
  • Somerset, KY
  • NPI 1861078685

  Family Medicine

  Medicare reassignment Care Compare group NPD
• Lake Cumberland Regional Hospital LLC

  dba Lake Cumberland Medical Associates

  • Rural Health Clinic/Center
  • Somerset, KY
  • NPI 1023155462
  NPD
• Lake Cumberland Regional Hospital LLC

  dba Lake Cumberland Surgical Associates

  • Family Nurse Practitioner
  • Somerset, KY
  • NPI 1093092744
  NPD
• Lake Cumberland Regional Hospital, LLC

  • Internal Medicine Physician
  • Somerset, KY
  • NPI 1447330451

  Family Medicine

  NPD (past)

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

• Lake Cumberland Regional Hospital LLC

  dba Lake Cumberland Regional Hospital

  • Rural Acute Care Hospital
  • Somerset, KY
  • NPI 1619038247
  Care Compare affiliation
• Lifeline Home Health Care of Somerset, LLC

  dba Lifeline Health Care of Pulaski

  • Home Health Agency
  • Somerset, KY
  • NPI 1114951993
  Care Compare affiliation

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

{
    "created_epoch": "1139875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208649600000",
    "number": "1386618627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 HOSPITAL WAY",
            "address_2": "SUITE 100",
            "city": "SOMERSET",
            "state": "KY",
            "postal_code": "425032872",
            "telephone_number": "606-451-2629",
            "fax_number": "606-451-2641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 HOSPITAL WAY",
            "address_2": "SUITE 100",
            "city": "SOMERSET",
            "state": "KY",
            "postal_code": "425032872",
            "telephone_number": "606-451-2629",
            "fax_number": "606-451-2641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNEDY",
        "first_name": "HARRY",
        "middle_name": "R",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-14",
        "last_updated": "2008-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KY",
            "license": "19406",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CCN",
            "identifier": "5125845",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CUMBERLAND HEALTHCARE",
            "identifier": "C04315",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5600065",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHA",
            "identifier": "1183701",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64194061",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000054068",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melinda Marie Keith, CPSS
• Paula Keith
• Charissa Gene Kelly, MA CFY/SLP
• Leslie Suzanne Kelly, PTA
• Rhonda Kelly, APRN
• James Thomas Kennett, PA-C
• Kenney Orthopedic, LLC
• Kentuckiana Hearing Service LLC (Somerset/Kentuckiana Hearing)
• Kentucky Accident & Injury Care PLLC
• Kentucky Cardiothoracic Surgical Associates

• Internal Medicine Physician in Somerset, KY
• Providers in Somerset, KY by specialty
• Internal Medicine Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; 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.