NPIMap

Individual provider Active NPI

Timothy Kennedy I, DO

  • Family Medicine Physician
  • Clarion, PA
National Provider Identifier
1710565619
Registry record updated Jan 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS024092 Issued in PA
Practice address
265 Holiday Inn Rd
Clarion, PA 16214-4034
Phone
(814) 371-2200
Fax
(814) 372-2573
NPI assigned
Mar 31, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OS024092 PA Primary

Addresses

Primary practice location

265 Holiday Inn Rd
Clarion, PA 16214-4034

Mailing address

265 Holiday Inn Rd
Clarion, PA 16214-4034
Phone (814) 375-2200

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250213001189 PA Practitioner - Family Practice 7012314453 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Lake Erie College of Osteopathic Medicine, Erie, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dubois Regional Medical CenterGroup PAC ID 5890689715, 424 clinicians

Practice addresses (Care Compare)

265 Holiday Inn Rd
Clarion, PA 16214-4034
Phone (814) 297-8848

Hospital & facility affiliations

  • Penn Highlands Community Nurses Home health agency, Saint Marys, PA, CCN 397028
  • Clarion Forest Vna Inc Home health agency, Clarion, PA, CCN 397116
  • Penn Highlands Community Nurses Hospice, Saint Marys, PA, CCN 391562
  • Penn Highlands Dubois Hospital, Dubois, PA, CCN 390086
  • Penn Highlands Brookville Hospital, Brookville, PA, CCN 391312
  • Independence Health System Clarion Hospital Hospital, Clarion, PA, CCN 390093
  • Upmc Northwest Hospital, Seneca, PA, CCN 390091

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Brookville Hospital Family Medicine CurrentSince Dec 9, 2024 Accepting new patients
Brookville Hospital CurrentSince Dec 1, 2025 Accepting new patients
Dubois Regional Medical Center Family Medicine CurrentSince Nov 24, 2024 Accepting new patients
Brookville Hospital Family Medicine CurrentSince Dec 9, 2024 Accepting new patients
Dubois Regional Medical Center CurrentSince Nov 24, 2024 Accepting new patients
Dubois Regional Medical Center Past Accepting new patients

Locations

88 Hospital Rd
Brookville, PA 15825
Phone (814) 849-1874

100 Hospital Rd
Brookville, PA 15825
Phone (814) 849-1408

265 Holiday Inn Rd
Clarion, PA 16214
Phone (814) 297-8848

265 Holiday Inn Rd
#Q
Clarion, PA 16214
Phone (814) 297-8848

100 Hospital Ave
Dubois, PA 15801
Phone (814) 375-2040

145 Hospital Ave
Ste 315
Dubois, PA 15801
Phone (814) 371-6172

Interoperability endpoints

  • Direct secure messaging: takennedy@1285.direct.myezyaccess.com

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 and National Provider Directory roles.

Hospital & facility affiliations 40

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 40

NPI Registry JSON

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

{
    "created_epoch": "1617148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737504000000",
    "number": "1710565619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "265 HOLIDAY INN RD",
            "city": "CLARION",
            "state": "PA",
            "postal_code": "162144034",
            "telephone_number": "814-375-2200",
            "fax_number": "814-375-2848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "265 HOLIDAY INN RD",
            "city": "CLARION",
            "state": "PA",
            "postal_code": "162144034",
            "telephone_number": "814-371-2200",
            "fax_number": "814-372-2573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNEDY",
        "first_name": "TIMOTHY",
        "name_suffix": "I",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-03-31",
        "last_updated": "2025-01-22",
        "certification_date": "2025-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS024092",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarion, PA

Sources for this page

Verify at the official NPI Registry.