Individual provider Active NPI

Rick D. Kenney, D.O.

  • Internal Medicine Physician
  • Newport Beach, CA
National Provider Identifier
1487699641
Registry record updated May 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
20A7292 Issued in CA
Practice address
355 Placentia Ave
Ste 101
Newport Beach, CA 92663-3301
Phone
(949) 612-7358
Fax
(949) 650-1902
NPI assigned
Jun 19, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 21, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 20A7292 CA Primary

Addresses

Primary practice location

355 Placentia Ave
Ste 101
Newport Beach, CA 92663-3301

Mailing address

350 Old Newport Blvd
Newport Beach, CA 92663-4148
Phone (949) 650-2887

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20051201000510 CA Practitioner - Internal Medicine 1052331352 Practice locations: Newport Beach, CA; Irvine, CA; Corona del Mar, CA; Costa Mesa, CA

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1997
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1 Hoag Dr
Newport Beach, CA 92663-4162
Phone (949) 645-8600

350 Old Newport Blvd
Newport Beach, CA 92663-4148
Phone (949) 650-2887

355 Placentia Ave
Suite 101
Newport Beach, CA 92663-3301
Phone (949) 612-7358

Hospital & facility affiliations

  • Hoag Home Health Home health agency, Newport Beach, CA, CCN 557412
  • Elegance Healthcare, Inc Home health agency, Encino, CA, CCN 553107
  • Hoag Hospice, LLC Hospice, Newport Beach, CA, CCN 551666
  • Hoag Memorial Hospital Presbyterian Hospital, Newport Beach, CA, CCN 050224
  • Uci Health-Orange Hospital, Orange, CA, CCN 050348

Merit-based Incentive Payment System (MIPS)

Final score
19.25 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
64.16

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Robert Marriott Medical Corp Past Accepting new patients
John C. Storch, M.D., Inc. Internal Medicine Past Accepting new patients
Rancho Faculty Medical Associates, Inc. Past Accepting new patients

Organizations & group practices 3

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 6

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": "1150675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590019200000",
    "number": "1487699641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 OLD NEWPORT BLVD",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926634148",
            "telephone_number": "949-650-2887",
            "fax_number": "949-642-1620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "355 PLACENTIA AVE",
            "address_2": "STE 101",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926633301",
            "telephone_number": "949-612-7358",
            "fax_number": "949-650-1902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNEY",
        "first_name": "RICK",
        "middle_name": "D.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-19",
        "last_updated": "2020-05-21",
        "certification_date": "2020-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "20A7292",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport Beach, CA

Sources for this page

Verify at the official NPI Registry.