Individual provider Active NPI

Melanie Alaina Kennedy

  • Pediatric Sports Medicine Physician
  • Westerville, OH
National Provider Identifier
1699110973
Registry record updated Jul 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Sports Medicine PhysicianTaxonomy code 2080S0010X
License
35.131246 Issued in OH
Practice address
584 County Line Rd W
Westerville, OH 43082-7295
Phone
(614) 355-6000
NPI assigned
May 1, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Sports Medicine Physician 2080S0010X 35.131246 OH Primary

Addresses

Primary practice location

584 County Line Rd W
Westerville, OH 43082-7295

Mailing address

700 Childrens Dr
Columbus, OH 43205-2664
Phone (614) 722-2000

Other practice location 1

4363 All Seasons Dr
Hilliard, OH 43026-2050
Phone (614) 722-2000

Other practice location 2

100 Colemans Crossing Blvd
Marysville, OH 43040-7080
Phone (614) 722-2000

Other practice location 3

6435 E Broad St
Columbus, OH 43213-1507
Phone (614) 722-2000

Other practice location 4

150 W Main St
New Albany, OH 43054-9229
Phone (614) 722-2000

Other practice location 5

6699 E Livingston Ave
Reynoldsburg, OH 43068-3688
Phone (614) 722-2000

Other practice location 6

405 Butterfly Gardens Dr
Columbus, OH 43215-4985
Phone (614) 355-6000

Other practice location 7

1350 Stringtown Rd
Grove City, OH 43123-9743
Phone (614) 722-2000

Other practice location 8

700 Childrens Dr
Columbus, OH 43205-2664
Phone (614) 722-2000

Other practice location 9

5680 Venture Dr
Dublin, OH 43017-2190
Phone (614) 355-8700

Other practice location 10

7901 Diley Rd
Canal Winchester, OH 43110-9612
Phone (614) 722-2000

Other identifiers 1

IdentifierTypeStateIssuer
0315545MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181206003136 OH Practitioner - Pediatric Medicine 8426342544 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35.131246OHMDPediatric Sports Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Nationwide Children'S Hospital CurrentSince Jun 30, 2025 Accepting new patients
Children'S Hospital Medical Center CurrentSince Oct 6, 2018 Accepting new patients
Nationwide Children'S Hospital CurrentSince Jun 30, 2025 Accepting new patients
Pediatric Academic Association, Inc. CurrentSince Jun 30, 2025 Accepting new patients
Nationwide Children'S Hospital Past Accepting new patients

Locations

3341 Solutions Ctr
Chicago, IL 60677

Dept 781629
Detroit, MI 48278

3333 Burnet Ave
Cincinnati, OH 45229
Phone (513) 636-4200

3333 Burnet Ave
#10001
Cincinnati, OH 45229
Phone (513) 636-4366

3333 Burnet Ave
#5021
Cincinnati, OH 45229
Phone (513) 636-4225

405 Butterfly Gardens Dr
Columbus, OH 43215
Phone (614) 722-4200

Dept L289
Columbus, OH 43260

700 Childrens Dr
Columbus, OH 43205
Phone (614) 722-4411

1 Childrens Plz
Dayton, OH 45404
Phone (937) 641-3600

5680 Venture Dr
Dublin, OH 43017
Phone (614) 355-8700

584 County Line Rd W
Westerville, OH 43082
Phone (614) 355-6052

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1367366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783382400000",
    "number": "1699110973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 CHILDRENS DR",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432052664",
            "telephone_number": "614-722-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "584 COUNTY LINE RD W",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430827295",
            "telephone_number": "614-355-6000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4363 All Seasons Dr",
            "address_purpose": "LOCATION",
            "city": "Hilliard",
            "state": "OH",
            "postal_code": "430262050",
            "country_code": "US",
            "telephone_number": "614-722-2000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 Colemans Crossing Blvd",
            "address_purpose": "LOCATION",
            "city": "Marysville",
            "state": "OH",
            "postal_code": "430407080",
            "country_code": "US",
            "telephone_number": "614-722-2000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6435 E Broad St",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432131507",
            "country_code": "US",
            "telephone_number": "614-722-2000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "150 W Main St",
            "address_purpose": "LOCATION",
            "city": "New Albany",
            "state": "OH",
            "postal_code": "430549229",
            "country_code": "US",
            "telephone_number": "614-722-2000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6699 E Livingston Ave",
            "address_purpose": "LOCATION",
            "city": "Reynoldsburg",
            "state": "OH",
            "postal_code": "430683688",
            "country_code": "US",
            "telephone_number": "614-722-2000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "405 Butterfly Gardens Dr",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432154985",
            "country_code": "US",
            "telephone_number": "614-355-6000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1350 Stringtown Rd",
            "address_purpose": "LOCATION",
            "city": "Grove City",
            "state": "OH",
            "postal_code": "431239743",
            "country_code": "US",
            "telephone_number": "614-722-2000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "700 Childrens Dr",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432052664",
            "country_code": "US",
            "telephone_number": "614-722-2000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5680 Venture Dr",
            "address_purpose": "LOCATION",
            "city": "Dublin",
            "state": "OH",
            "postal_code": "430172190",
            "country_code": "US",
            "telephone_number": "614-355-8700",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7901 Diley Rd",
            "address_purpose": "LOCATION",
            "city": "Canal Winchester",
            "state": "OH",
            "postal_code": "431109612",
            "country_code": "US",
            "telephone_number": "614-722-2000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KENNEDY",
        "first_name": "MELANIE",
        "middle_name": "ALAINA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-01",
        "last_updated": "2026-07-07",
        "certification_date": "2026-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080S0010X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Sports Medicine",
            "state": "OH",
            "license": "35.131246",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0315545",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Westerville, OH

Sources for this page

Verify at the official NPI Registry.