Individual provider Active NPI

Andrew Scott Kennedy, MD

  • Radiation Oncology Physician
  • Nashville, TN
National Provider Identifier
1467491019
Registry record updated Feb 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
95-00117 Issued in NC
Practice address
2410 Patterson St
Basement Level
Nashville, TN 37203-1551
Phone
(615) 342-4850
Fax
(615) 342-4901
NPI assigned
Jun 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X 95-00117 NC Primary

Addresses

Primary practice location

2410 Patterson St
Basement Level
Nashville, TN 37203-1551

Mailing address

PO Box 742276
Atlanta, GA 30374-2276
Phone (615) 533-2441

Other identifiers 5

IdentifierTypeStateIssuer
B6753OtherNCMEDCOST
92-0007149OtherNCRAILROAD MEDICARE
178300OtherNCWELLPATH
24-00084OtherNCUNITED HEALTHCARE
131HYOtherNCBLUECROSS BLUESHIELD

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ANDREW.KENNEDY@hca1.eclinicaldirectplus.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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

Enrollment IDStateProvider typePAC IDDetails
I20121218000393 TN Practitioner - Radiation Oncology 5092857045 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
Loma Linda University School of Medicine, 1992
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2410 Patterson St
Basement Level
Nashville, TN 37203-1551
Phone (615) 342-4850

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
49223TNMDPharmacist
95-00117NCMDRadiation Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tristar Radiation Oncology, LLC Radiation Oncology CurrentSince Nov 1, 2012 Accepting new patients

Locations

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

2400 Patterson St
Nashville, TN 37203
Phone (615) 327-7407

2410 Patterson St
Nashville, TN 37203
Phone (615) 342-4850

2410 Patterson St
Ste 500
Nashville, TN 37203
Phone (615) 340-4611

2410 Patterson St
Bsmt
Nashville, TN 37203
Phone (615) 342-4850

Interoperability endpoints

  • Direct secure messaging: andrew.kennedy@hca1.eclinicaldirectplus.com

Organizations & group practices 1

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.

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644364800000",
    "number": "1467491019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 742276",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303742276",
            "telephone_number": "615-533-2441",
            "fax_number": "866-716-8706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2410 PATTERSON ST",
            "address_2": "BASEMENT LEVEL",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372031551",
            "telephone_number": "615-342-4850",
            "fax_number": "615-342-4901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNEDY",
        "first_name": "ANDREW",
        "middle_name": "SCOTT",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-06",
        "last_updated": "2022-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "NC",
            "license": "95-00117",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDCOST",
            "identifier": "B6753",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "92-0007149",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLPATH",
            "identifier": "178300",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "24-00084",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUESHIELD",
            "identifier": "131HY",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ANDREW.KENNEDY@hca1.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "2410 Patterson St",
            "address_2": "BASEMENT LEVEL",
            "city": "Nashville",
            "state": "TN",
            "country_code": "US",
            "postal_code": "372031551",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

Verify at the official NPI Registry.