Cort Chedwin Kennedy II, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

325220-01 Issued in NY

Practice address

229 Railroad Ave Ste 3
Sayville, NY 11782-2719

Phone

(631) 909-6342

Fax

(631) 909-6344

NPI assigned

Jan 20, 2020

Last updated

Jan 27, 2025By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

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

Specialty

Family Practice

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

City Medical of Upper East Side PLLCGroup PAC ID 0648465039, 658 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

86.33 of 100Reported as group

Quality

82.1

Promoting interoperability

100

Improvement activities

40

Cost

72.34

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: cort.c.kennedy.ii.1@2983.direct.athenahealth.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.

• City Medical of Upper East Side, PLLC

  dba CityMD Urgent Care

  • Urgent Care Clinic/Center
  • New York, NY
  • NPI 1801277629
  Medicare reassignment Care Compare group NPD
• Cort Chedwin Kennedy MD PLLC

  • Primary Care Clinic/Center
  • Sayville, NY
  • NPI 1447092853
  Medicare reassignment NPD Authorized official
• City Medical of Upper East Side, PLLC

  dba CityMD

  • Urgent Care Clinic/Center
  • Brooklyn, NY
  • NPI 1669905840
  NPD
• City Medical of Upper East Side, PLLC

  • Urgent Care Clinic/Center
  • New York, NY
  • NPI 1740913763
  NPD

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

{
    "created_epoch": "1579478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737936000000",
    "number": "1730719659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "229 RAILROAD AVE STE 3",
            "city": "SAYVILLE",
            "state": "NY",
            "postal_code": "117822719",
            "telephone_number": "631-909-6343",
            "fax_number": "631-909-6344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "229 RAILROAD AVE STE 3",
            "city": "SAYVILLE",
            "state": "NY",
            "postal_code": "117822719",
            "telephone_number": "631-909-6342",
            "fax_number": "631-909-6344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNEDY",
        "first_name": "CORT",
        "middle_name": "CHEDWIN",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-01-20",
        "last_updated": "2025-01-27",
        "certification_date": "2025-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "325220-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yumiko Kawakami, PT
• Susan Keane, P.T.
• Keith Golka Physical Therapy
• Michele A Kelly
• Brent Thomas Kempf, DPM
• Brittany Khan
• Princess Sotara Khan, PHARM.D.
• Wendy Lynn Kiel, DDS
• Kim Marie Wallace NP in Family Health PLLC
• Jennifer Kimpel

• Family Medicine Physician in Sayville, NY
• Providers in Sayville, NY by specialty
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2025; 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.