Individual provider Active NPI

Wendy K Kennedy, DPM

  • Orthopaedic Foot and Ankle Surgery Physician
  • Terre Haute, IN
National Provider Identifier
1407841463
Registry record updated Oct 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Foot and Ankle Surgery PhysicianTaxonomy code 207XX0004X
License
07000900A Issued in IN
Practice address
1024 S 6TH St
Suite 102
Terre Haute, IN 47807-5015
Phone
(812) 232-3338
Fax
(812) 234-8828
NPI assigned
Sep 15, 2005
Last updated
Oct 19, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Foot and Ankle Surgery Physician 207XX0004X 07000900A IN Primary

Addresses

Primary practice location

1024 S 6TH St
Suite 102
Terre Haute, IN 47807-5015

Mailing address

PO Box 3402
Terre Haute, IN 47803-0402
Phone (812) 234-4243

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051108000958 IN Practitioner - Podiatry 3678591963 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
William M. Scholl College of Podiatric Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1543 S 7TH St
Terre Haute, IN 47802-1610
Phone (812) 232-3338

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions1-10
Removal of nail tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Wabash Valley Podiatry Inc. CurrentSince Sep 22, 2019 Accepting new patients
Meridian Health Group Past Accepting new patients
Indiana University Health Southern Indiana Physicians, LLC Past Accepting new patients
Family Foot and Ankle Center Inc Past Accepting new patients
Jeffery a Bollenbacher DO PSC Past Accepting new patients
Quest Orthopedics, PC PastSince Aug 30, 2013 Accepting new patients

Locations

1543 S 7th St
Terre Haute, IN 47802
Phone (812) 232-3338

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1126742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318982400000",
    "number": "1407841463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3402",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478030402",
            "telephone_number": "812-234-4243",
            "fax_number": "812-478-3663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1024 S 6TH ST",
            "address_2": "SUITE 102",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478075015",
            "telephone_number": "812-232-3338",
            "fax_number": "812-234-8828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNEDY",
        "first_name": "WENDY",
        "middle_name": "K",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-15",
        "last_updated": "2011-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XX0004X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Foot and Ankle Surgery",
            "state": "IN",
            "license": "07000900A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Terre Haute, IN

Sources for this page

Verify at the official NPI Registry.