Active NPI
Peter C. Kenny, MD
- Pediatrics Physician
- Northampton, MA
National Provider Identifier
1558340372
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 39657
- Practice address
- 193 Locust St
#2
Northampton, MA 01060-2066 - Phone
- (413) 584-8700
- Fax
- (413) 584-1714
- NPI assigned
- Jan 11, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 39657 | MA | Primary |
Addresses
Primary practice location
193 Locust St
#2
Northampton, MA 01060-2066
Mailing address
193 Locust St
#2
Northampton, MA 01060-2066
Phone (413) 584-8700
Other identifiers 9
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4235652 | Other | MA | AETNA |
| 000000008099 | Other | MA | BMC |
| 13563 | Other | MA | HEALTH NEW ENGLAND |
| 039657 | Other | MA | TUFTS |
| 200186 | Other | MA | HARVARD PILGRIM |
| 2052563 | Medicaid | MA | |
| 10242202 | Other | MA | CIGNA |
| 747581 | Other | MA | CONNECTICARE |
| G14108 | Other | MA | BCBS MA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 39657 | MA | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136937600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1558340372",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "193 LOCUST ST",
"address_2": "#2",
"city": "NORTHAMPTON",
"state": "MA",
"postal_code": "010602066",
"telephone_number": "413-584-8700",
"fax_number": "413-584-1714"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "193 LOCUST ST",
"address_2": "#2",
"city": "NORTHAMPTON",
"state": "MA",
"postal_code": "010602066",
"telephone_number": "413-584-8700",
"fax_number": "413-584-1714"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KENNY",
"first_name": "PETER",
"middle_name": "C.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-11",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MA",
"license": "39657",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4235652",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BMC",
"identifier": "000000008099",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH NEW ENGLAND",
"identifier": "13563",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS",
"identifier": "039657",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRIM",
"identifier": "200186",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2052563",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "10242202",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CONNECTICARE",
"identifier": "747581",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS MA",
"identifier": "G14108",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Northampton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.