Active NPI
Michael Scott Kenly, M.D.
- Physical Medicine & Rehabilitation Physician
- Santa Barbara, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- A113590
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| EJ158Z | Other | CA | SOUTHERN MEDICARE PTAN |
| EJ158Y | Other | CA | NORTHERN MEDICARE PTAN |
| A113590 | Other | CA | DCA 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Medicine and Rehabilitation
- Education
- Indiana University School of Medicine, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
511 Bath St
Santa Barbara, CA 93101-3403
Phone (805) 963-9377
Hospital & facility affiliations
- Santa Barbara Cottage Hospital
- Santa Ynez Valley Cottage Hospital
- Goleta Valley Cottage Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 70.42 of 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| A113590 | CA | MD | Physical Medicine & Rehabilitation Physician |
| 62730 | GA | MD | Physical Medicine & Rehabilitation Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alta Orthopaedic Medical Group Inc | Current | Accepting new patients | |
| Alta Orthopaedic Medical Group, Inc. | Current | Accepting new patients | |
| Peachtree Spine & Pain Physicians, Inc | Physical Medicine & Rehabilitation | Past | Accepting new patients |
| Osf Medical Group of California, Inc | Past | 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
- michael.kenly.1@1272.direct.athenahealth.com
- 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.
-
- Orthopaedic Surgery Physician
- Santa Barbara, CA
- NPI 1699768903
-
- Orthopaedic Surgery Physician
- Solvang, CA
- NPI 1376035923
-
- Dermatology Physician
- Victorville, CA
- NPI 1871658278
-
- Orthopaedic Surgery Physician
- Santa Barbara, CA
- NPI 1629198742
-
- General Acute Care Hospital
- Santa Barbara, CA
- NPI 1477554152
-
- Physical Medicine & Rehabilitation Physician
- Atlanta, GA
- NPI 1700899754
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Santa Barbara, CA
- NPI 1225038136
-
- General Acute Care Hospital
- Santa Barbara, CA
- NPI 1477554152
-
- General Acute Care Hospital
- Solvang, CA
- NPI 1952301863
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2015; 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.