Individual provider Active NPI

Michael Scott Kenly, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Santa Barbara, CA
National Provider Identifier
1548445307
Registry record updated Aug 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
A113590 Issued in CA
Practice address
511 Bath St
Santa Barbara, CA 93101-3403
Phone
(805) 963-9377
Fax
(805) 962-2154
NPI assigned
Dec 29, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 62730 GA
Physical Medicine & Rehabilitation Physician 208100000X A113590 CA Primary

Addresses

Primary practice location

511 Bath St
Santa Barbara, CA 93101-3403

Mailing address

511 Bath St
Santa Barbara, CA 93101-3403
Phone (805) 963-9377

Other identifiers 3

IdentifierTypeStateIssuer
EJ158ZOtherCASOUTHERN MEDICARE PTAN
EJ158YOtherCANORTHERN MEDICARE PTAN
A113590OtherCADCA MEDICAL LICENSE

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
I20110126000167 CA Practitioner - Physical Medicine and RehabilitationPractitioner - Pain Management 0345396008 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and RehabilitationAlso: Pain Management
Education
Indiana University School of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Alta Orthopaedic Medical Group IncGroup PAC ID 7315837788, 22 clinicians

Practice addresses (Care Compare)

511 Bath St
Santa Barbara, CA 93101-3403
Phone (805) 963-9377

Hospital & facility affiliations

  • Santa Barbara Cottage Hospital Hospital, Santa Barbara, CA, CCN 050396
  • Santa Ynez Valley Cottage Hospital Hospital, Solvang, CA, CCN 051331
  • Goleta Valley Cottage Hospital Hospital, Santa Barbara, CA, CCN 050357

Merit-based Incentive Payment System (MIPS)

Final score
70.42 of 100Reported as individual
Quality
30.22
Promoting interoperability
93
Improvement activities
40
Cost
77.02

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A113590CAMDPhysical Medicine & Rehabilitation Physician
62730GAMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Alta Orthopaedic Medical Group Inc CurrentSince Sep 1, 2015 Accepting new patients
Alta Orthopaedic Medical Group, Inc. CurrentSince Sep 1, 2015 Accepting new patients
Peachtree Spine & Pain Physicians, Inc Physical Medicine & Rehabilitation Past Accepting new patients
Osf Medical Group of California, Inc PastSince Sep 30, 2012 Accepting new patients
Keith Mark Gross MD Inc Past Accepting new patients
Santa Barbara Cottage Hospital Past Accepting new patients

Locations

1701 Solar Dr
Ste 190
Oxnard, CA 93030
Phone (805) 682-7801

510 Castillo St
Santa Barbara, CA 93101

511 Bath St
Santa Barbara, CA 93101
Phone (805) 963-9377

210 S Palisade Dr
Ste 201A
Santa Maria, CA 93454

2027 Village Ln
Ste 101
Solvang, CA 93463
Phone (805) 279-5579

Interoperability endpoints

  • Direct secure messaging: michael.kenly.1@1272.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/1272/brand/1/csg/1/fhir/r4

Organizations & group practices 6

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": "1198886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439942400000",
    "number": "1548445307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "511 BATH ST",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931013403",
            "telephone_number": "805-963-9377",
            "fax_number": "805-962-2154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 BATH ST",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931013403",
            "telephone_number": "805-963-9377",
            "fax_number": "805-962-2154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENLY",
        "first_name": "MICHAEL",
        "middle_name": "SCOTT",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-12-29",
        "last_updated": "2015-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "GA",
            "license": "62730",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CA",
            "license": "A113590",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOUTHERN MEDICARE PTAN",
            "identifier": "EJ158Z",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NORTHERN MEDICARE PTAN",
            "identifier": "EJ158Y",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DCA MEDICAL LICENSE",
            "identifier": "A113590",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Barbara, CA

Sources for this page

Verify at the official NPI Registry.