Active NPI
Grace Ruth Kennedy, DO
- Pulmonary Disease Physician
- Tulsa, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- 2837
- Practice address
- 7307 S Yale Ave
Suite 101
Tulsa, OK 74136-7049 - Phone
- (918) 710-2062
- Fax
- (918) 392-4552
- NPI assigned
- Aug 1, 2006
- Last updated
- Dec 19, 2014
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | 2837 | OK | Primary |
Addresses
Primary practice location
7307 S Yale Ave
Suite 101
Tulsa, OK 74136-7049
Mailing address
7307 S Yale Ave
Ste. 101
Tulsa, OK 74136-7049
Phone (918) 710-2062
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100088740A | Medicaid | OK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK, KS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Pulmonary Disease
- Education
- Oklahoma State University College of Osteopathic Medicine, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1027 E Cherry St
Cushing, OK 74023-4101
Phone (918) 225-2915
10512 N 110TH E Ave
Suite 130
Owasso, OK 74055-6636
Phone (918) 376-8149
1120 S Utica Ave
Tulsa, OK 74104-4012
Phone (918) 579-9393
1202 N Muskogee PL
Claremore, OK 74017-3058
Phone (918) 341-2556
1245 S Utica Ave
Tulsa, OK 74104-4214
1731 N 90TH St
Select Specialty Hospital Kansas City
Kansas City, KS 66112-1515
Phone (913) 732-5900
20 E 34TH St
Sand Springs, OK 74063-4001
Phone (918) 245-9675
2401 W Main St
Henryetta, OK 74437-3893
Phone (918) 652-9650
2403 W Main St
Henryetta, OK 74437-3893
Phone (918) 652-9650
4408 S Harvard Ave
Tulsa, OK 74135-2615
Phone (918) 574-0350
8801 S 101St E Ave
Tulsa, OK 74133-5716
Phone (918) 294-4000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2837 | OK | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Select Specialty Hospital - Kansas City, Inc. | Current | Accepting new patients | |
| Select Specialty Hospital - Kansas City Inc | Current | Accepting new patients | |
| Ahs Oklahoma Physician Group LLC | Current | Accepting new patients | |
| Ahs Oklahoma Physician Group, LLC | Current | Accepting new patients | |
| Asthma and Respiratory Consultants PA | Pulmonary Disease | Past | Accepting new patients |
| Family Medical Care of Tulsa Inc | Past | Accepting new patients | |
| Ahs Hillcrest Medical Center, LLC | Past | Accepting new patients |
Locations
1731 N 90th St
Kansas City, KS 66112
Phone (913) 732-5900
20 E 34th St
Sand Springs, OK 74063
Phone (918) 245-9675
1120 S Utica Ave
Rm 3207
Tulsa, OK 74104
1245 S Utica Ave
Tulsa, OK 74104
Phone (918) 560-3823
1245 S Utica Ave
Ste 302
Tulsa, OK 74104
Phone (918) 382-2560
Dept 1206
Tulsa, OK 74182
4714 Gettysburg Rd
Mechanicsburg, PA 17055
Phone (888) 735-6332
Interoperability endpoints
- gkennedy137886@ahs.direct-ci.com
- https://epicproxy.ardenthealth.com/fhir/UPC/api/FHIR/R4
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Utica Park Clinic
- Family Medicine Physician
- Tulsa, OK
- NPI 1235182775
-
- Hospitalist Physician
- Kansas City, KS
- NPI 1073871125
-
dba Cushing Medical Specialist
- Rural Health Clinic/Center
- Cushing, OK
- NPI 1922683051
-
dba Select Specialty Hospital - Western Missiouri
- Long Term Care Hospital
- Kansas City, MO
- NPI 1215937644
-
dba Hillcrest Medical Center
- General Acute Care Hospital
- Tulsa, OK
- NPI 1629057229
-
- Family Medicine Physician
- Tulsa, OK
- NPI 1578500195
-
- Pulmonary Disease Physician
- Dallas, TX
- NPI 1528035177
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Hillcrest Hospital Claremore
- General Acute Care Hospital
- Claremore, OK
- NPI 1023398807
-
dba Hillcrest Medical Center
- General Acute Care Hospital
- Tulsa, OK
- NPI 1629057229
-
dba HIllcrest Hospital South
- General Acute Care Hospital
- Tulsa, OK
- NPI 1750661534
-
- General Acute Care Hospital
- Owasso, OK
- NPI 1205846037
-
- General Acute Care Hospital
- Bartlesville, OK
- NPI 1215914254
-
- Medicare Defined Swing Bed Hospital Unit
- Bartlesville, OK
- NPI 1427428986
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154390400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1418947200000",
"number": "1568478071",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7307 S YALE AVE",
"address_2": "STE. 101",
"city": "TULSA",
"state": "OK",
"postal_code": "741367049",
"telephone_number": "918-710-2062",
"fax_number": "918-392-4552"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7307 S YALE AVE",
"address_2": "SUITE 101",
"city": "TULSA",
"state": "OK",
"postal_code": "741367049",
"telephone_number": "918-710-2062",
"fax_number": "918-392-4552"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KENNEDY",
"first_name": "GRACE",
"middle_name": "RUTH",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-01",
"last_updated": "2014-12-19",
"status": "A"
},
"taxonomies": [
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "OK",
"license": "2837",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100088740A",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tulsa, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2014; 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.