Benjamin Smith Kennedy, MD

Primary specialty

Gynecology PhysicianTaxonomy code 207VG0400X

License

ME13671 Issued in FL

Practice address

7565 NE Orchid Bay Ter
Boca Raton, FL 33487-1703

Phone

(561) 997-6027

Fax

(561) 912-9306

NPI assigned

Jan 15, 2016

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

Not listed in the public Medicare enrollment file

Eligible to order & refer

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

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Vitalmd Group Holding LLC

  • Obstetrics & Gynecology Physician
  • Miami, FL
  • NPI 1871572032
  NPD (past)

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

{
    "created_epoch": "1452816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452816000000",
    "number": "1760849103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7565 NE ORCHID BAY TER",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334871703",
            "telephone_number": "561-997-6027",
            "fax_number": "561-912-9306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7565 NE ORCHID BAY TER",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334871703",
            "telephone_number": "561-997-6027",
            "fax_number": "561-912-9306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNEDY",
        "first_name": "BENJAMIN",
        "middle_name": "SMITH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-01-15",
        "last_updated": "2016-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "FL",
            "license": "ME13671",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Kelson, MD
• Ana Kelton-Brand, PH.D.
• Kembeat Overseas Investments PA
• Heili Kemel Lopez
• Azurdee Eva Kennedy, PT
• Nicole Ann Kennedy
• Kenneth a. Mogell, DMD, PA
• Kenneth Konsker MD PA
• Kenneth Krat DDS PA
• Kentucky Medical Services, PSC

• Gynecology Physician in Boca Raton, FL
• Providers in Boca Raton, FL by specialty
• Gynecology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2016; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.