Richard Kennedy, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

C0006406 Issued in MD

Practice address

7300 Hanover Dr Ste 104
Greenbelt, MD 20770-2250

Phone

(301) 486-4690

NPI assigned

Mar 12, 2017

Last updated

May 24, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in DC, MD, MI, VA, IL5 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 5

Specialty

Physician Assistant

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Center for Vascular Medicine LLCGroup PAC ID 1658319967, 11 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

98.3 of 100Reported as group

Promoting interoperability

98

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: richard.kennedypac.p4@direct.cvm-usa.nextgenshare.com

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.

• Center for Vascular Medicine LLC

  • Specialist
  • Greenbelt, MD
  • NPI 1386935781

  DC, VA

  Medicare reassignment Care Compare group
• Center for Vascular Medicine Al LLC

  • Vascular Surgery Physician
  • Dothan, AL
  • NPI 1518552447
  Authorized official Same address or phone
• Center for Vascular Medicine CT, PLLC

  • Specialist
  • Cromwell, CT
  • NPI 1205465382
  Authorized official Same address or phone
• Center for Vascular Medicine FL PLLC

  • Vascular Surgery Physician
  • Fort Myers, FL
  • NPI 1841867900
  Authorized official Same address or phone
• Center for Vascular Medicine in LLC

  • Specialist
  • Greenwood, IN
  • NPI 1194354274
  Authorized official Same address or phone
• CVM of CT PLLC

  • Vascular Surgery Physician
  • Cromwell, CT
  • NPI 1063094019
  NPD (past) Authorized official
• Vascular Medicine of New York, PLLC

  • Specialist
  • Bronx, NY
  • NPI 1417586595
  Authorized official Same address or phone
• Center for Vascular Medicine NJ, LLC

  • Vascular Surgery Physician
  • Chester, NJ
  • NPI 1144761685
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1489276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558656000000",
    "number": "1629519574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7474 GREENWAY CENTER DR STE 650",
            "city": "GREENBELT",
            "state": "MD",
            "postal_code": "207703560",
            "telephone_number": "301-982-2000",
            "fax_number": "301-982-2001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7300 HANOVER DR STE 104",
            "city": "GREENBELT",
            "state": "MD",
            "postal_code": "207702250",
            "telephone_number": "301-486-4690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNEDY",
        "first_name": "RICHARD",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-12",
        "last_updated": "2019-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MD",
            "license": "C0006406",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "131459900",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Fumikazu Kawakami, MD
• Fatima Keita
• Avi Keller
• Clara Catherine Kelly, FNP-C
• Katherine Sykes Kendall, MS, RD, LD, CLT
• Kenneth R Bond II (KRB Counselors and Consultants)
• Elizabeth Kerr, RD
• Keshav Primary Care, LLC (Shylaja Keshav, MD)
• Keystone Healthcare Services LLC
• Adnan R Khan, MD

• Physician Assistant in Greenbelt, MD
• Providers in Greenbelt, MD by specialty
• Physician Assistant in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2019; 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.

Verify at the official NPI Registry.