Active NPI
Wendy K Kennedy, DPM
- Orthopaedic Foot and Ankle Surgery Physician
- Terre Haute, IN
National Provider Identifier
1407841463
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Foot and Ankle Surgery Physician
- License
- 07000900A
- 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, 2011
- Sex
- Female
- Sole proprietor
- No
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 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
Enrollment records 1
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 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 0
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wabash Valley Podiatry Inc. | Current | 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 | Past | 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.
-
- Podiatrist
- Terre Haute, IN
- NPI 1588737183
-
- Foot & Ankle Surgery Podiatrist
- Bloomington, IN
- NPI 1497957161
-
- Durable Medical Equipment & Medical Supplies
- Bloomington, IN
- NPI 1427476696
-
dba Sports Orthopedics PC
- Orthopaedic Surgery Physician
- Terre Haute, IN
- NPI 1700275823
-
- Pain Medicine (Psychiatry & Neurology) Physician
- Carmel, IN
- NPI 1255409413
-
- Medical Specialty Clinic/Center
- Vincennes, IN
- NPI 1871648022
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2011; 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.