Active NPI
Joseph Michael Kennedy, M.D.
- Emergency Medicine Physician
- Burlington, VT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 042-0015348
- Practice address
- 111 Colchester Ave
Burlington, VT 05401-1473 - Phone
- (802) 847-2434
- NPI assigned
- Mar 25, 2015
- Last updated
- Jul 2, 2026
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 042-0015348 | VT | Primary |
| Emergency Medicine Physician | 207P00000X | 310427 | NY | |
| Emergency Medicine Physician | 207P00000X | 036.148262 | IL | |
| Medical Toxicology (Emergency Medicine) Physician | 207PT0002X | 036.148262 | IL |
Addresses
Primary practice location
111 Colchester Ave
Burlington, VT 05401-1473
Mailing address
75 Park Street
Elizabethtown, NY 12932
Phone (518) 873-6377
Other practice location 1
75 Park Street
Elizabethtown, NY 12932
Phone (518) 873-6377
Other practice location 2
115 Porter Dr
Middlebury, VT 05753-8629
Phone (802) 388-4701
Other practice location 3
75 Beekman St
Plattsburgh, NY 12901-1438
Phone (518) 561-2000
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | joseph.kennedy@direct.ccprovider.org | Direct | Cook County |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VT, NY
- 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
- Emergency Medicine
- Education
- Mayo Medical School, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
111 Colchester Ave
Burlington, VT 05401-1473
Phone (802) 847-0000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036.148262 | IL | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Elizabethtown Community Hospital | Current | Accepting new patients | |
| Champlain Valley Physicians Hospital Medical Center | Emergency Medicine | Current | Accepting new patients |
| Elizabethtown Community Hospital | Current | Accepting new patients | |
| Elizabethtown Community Hospital | Current | Accepting new patients | |
| University of Vermont Medical Center Inc | Emergency Medicine | Current | Accepting new patients |
| Elizabethtown Community Hospital | Current | Accepting new patients |
Locations
75 Beekman St
Plattsburgh, NY 12901
Phone (518) 562-7100
1 S Prospect St
Burlington, VT 05401
Phone (802) 847-4531
111 Colchester Ave
Burlington, VT 05401
Phone (802) 656-2415
115 Porter Dr
Middlebury, VT 05753
Phone (802) 388-4701
Interoperability endpoints
- https://fhir-usa.unify.chbase.com/org/elizabe-e663f886
- jkennedy17751@uihealth.direct-ci.com
- jkennedy428340@direct.uvmhealth.org
- joseph.kennedy@direct.ccprovider.org
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Uvm Medical Center
- Internal Medicine Physician
- Burlington, VT
- NPI 1659309615
Emergency Medicine
-
- Internal Medicine Physician
- Plattsburgh, NY
- NPI 1124189782
Emergency Medicine
-
- General Practice Physician
- Elizabethtown, NY
- NPI 1053656744
-
- Medicare Defined Swing Bed Hospital Unit
- Elizabethtown, NY
- NPI 1407061591
-
- Critical Access Hospital
- Elizabethtown, NY
- NPI 1891785184
-
dba Elizabethtown Community Hospital Transport
- Ambulance
- Elizabethtown, NY
- NPI 1487923637
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Burlington, VT
- NPI 1568419976
-
dba Elizabethtown Community Hospital Transport
- Ambulance
- Elizabethtown, NY
- NPI 1487923637
Hospital
-
- Critical Access Hospital
- Elizabethtown, NY
- NPI 1891785184
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1427241600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782950400000",
"number": "1649664913",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "75 PARK STREET",
"city": "ELIZABETHTOWN",
"state": "NY",
"postal_code": "12932",
"telephone_number": "518-873-6377"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 COLCHESTER AVE",
"city": "BURLINGTON",
"state": "VT",
"postal_code": "054011473",
"telephone_number": "802-847-2434"
}
],
"practiceLocations": [
{
"address_1": "75 Park Street",
"address_purpose": "LOCATION",
"city": "Elizabethtown",
"state": "NY",
"postal_code": "12932",
"country_code": "US",
"telephone_number": "518-873-6377",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "115 Porter Dr",
"address_purpose": "LOCATION",
"city": "Middlebury",
"state": "VT",
"postal_code": "057538629",
"country_code": "US",
"telephone_number": "802-388-4701",
"fax_number": "802-388-5612",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "75 Beekman St",
"address_purpose": "LOCATION",
"city": "Plattsburgh",
"state": "NY",
"postal_code": "129011438",
"country_code": "US",
"telephone_number": "518-561-2000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KENNEDY",
"first_name": "JOSEPH",
"middle_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-03-25",
"last_updated": "2026-07-02",
"certification_date": "2026-07-02",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "VT",
"license": "042-0015348",
"primary": true
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "NY",
"license": "310427",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "IL",
"license": "036.148262",
"primary": false
},
{
"code": "207PT0002X",
"taxonomy_group": "",
"desc": "Emergency Medicine, Medical Toxicology",
"state": "IL",
"license": "036.148262",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "joseph.kennedy@direct.ccprovider.org",
"affiliation": "Y",
"affiliationName": "Cook County",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "1969 W. Ogden Ave.",
"city": "Chicago",
"state": "IL",
"country_code": "US",
"postal_code": "606123723",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Burlington, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2026; 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.