Active NPI
Daniel William Kennedy, M.D.
- Diagnostic Radiology Physician
- Newark, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 35.090631
- Practice address
- 1320 W Main St
Newark, OH 43055-1822 - Phone
- (740) 348-4710
- Fax
- (740) 348-4740
- NPI assigned
- May 18, 2007
- 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 15
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 57012390 | OH | |
| Body Imaging Physician | 2085B0100X | 35-090631 | OH | |
| Diagnostic Neuroimaging (Radiology) Physician | 2085D0003X | 35-090631 | OH | |
| Diagnostic Ultrasound Physician | 2085U0001X | 35-090631 | OH | |
| Hospice and Palliative Medicine (Radiology) Physician | 2085H0002X | 35-090631 | OH | |
| Neuroradiology Physician | 2085N0700X | 35-090631 | OH | |
| Nuclear Radiology Physician | 2085N0904X | 35-090631 | OH | |
| Radiation Oncology Physician | 2085R0001X | 35-090631 | OH | |
| Therapeutic Radiology Physician | 2085R0203X | 35-090631 | OH | |
| Vascular & Interventional Radiology Physician | 2085R0204X | 35-090631 | OH | |
| Nuclear Medicine Physician | 207U00000X | 35-090631 | OH | |
| In Vivo & In Vitro Nuclear Medicine Physician | 207UN0903X | 35-090631 | OH | |
| Nuclear Cardiology Physician | 207UN0901X | 35-090631 | OH | |
| Nuclear Imaging & Therapy Physician | 207UN0902X | 35-090631 | OH | |
| Diagnostic Radiology Physician | 2085R0202X | 35.090631 | OH | Primary |
Addresses
Primary practice location
1320 W Main St
Newark, OH 43055-1822
Mailing address
PO Box 948
2112 Cherry Valley Rd.
Newark, OH 43058-0948
Phone (740) 522-3774
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3039198 | Medicaid | OH | |
| P00880289 | Other | OH | RAILROAD MEDICARE |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Creighton University School of Medicine, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1320 W Main St
Newark, OH 43055-1822
Phone (740) 348-5545
Hospital & facility affiliations
- Licking Memorial Hospital
- Riverside Methodist Hospital
- Genesis Hospital
- Ohio State University State Health System
Merit-based Incentive Payment System (MIPS)
- Final score
- 97.5 of 100
- Quality
- 95
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35-090631 | OH | MD | Radiation Oncology Physician |
| 35.090631 | OH | MD | Diagnostic Radiology Physician |
| 57012390 | OH | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tri-County Radiologists, Inc. | Diagnostic Radiology | Current | Accepting new patients |
| Riverside Radiology and Interventional Associates Inc | Diagnostic Radiology | Past | Accepting new patients |
Locations
1320 W Main St
Newark, OH 43055
Phone (740) 348-4151
2000 Tamarack Rd
Newark, OH 43055
Phone (740) 788-6000
Interoperability endpoints
- daniel.kennedy@mmhs.medicity.net
Organizations & group practices 2
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.
-
- Diagnostic Radiology Physician
- Newark, OH
- NPI 1477544880
-
- Diagnostic Radiology Physician
- Columbus, OH
- NPI 1093718496
Hospital & facility affiliations 10
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Zanesville, OH
- NPI 1598868655
-
- General Acute Care Hospital
- Newark, OH
- NPI 1568446755
-
- Rehabilitation Hospital Unit
- Columbus, OH
- NPI 1184723637
-
- General Acute Care Hospital
- Columbus, OH
- NPI 1447359997
-
- Psychiatric Hospital Unit
- Columbus, OH
- NPI 1790876183
-
- General Acute Care Hospital
- Columbus, OH
- NPI 1467484972
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179446400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1415836800000",
"number": "1801004585",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 948",
"address_2": "2112 CHERRY VALLEY RD.",
"city": "NEWARK",
"state": "OH",
"postal_code": "430580948",
"telephone_number": "740-522-3774",
"fax_number": "740-522-2221"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1320 W MAIN ST",
"city": "NEWARK",
"state": "OH",
"postal_code": "430551822",
"telephone_number": "740-348-4710",
"fax_number": "740-348-4740"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KENNEDY",
"first_name": "DANIEL",
"middle_name": "WILLIAM",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-18",
"last_updated": "2014-11-13",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "OH",
"license": "57012390",
"primary": false
},
{
"code": "2085B0100X",
"taxonomy_group": "",
"desc": "Radiology, Body Imaging",
"state": "OH",
"license": "35-090631",
"primary": false
},
{
"code": "2085D0003X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Neuroimaging",
"state": "OH",
"license": "35-090631",
"primary": false
},
{
"code": "2085U0001X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Ultrasound",
"state": "OH",
"license": "35-090631",
"primary": false
},
{
"code": "2085H0002X",
"taxonomy_group": "",
"desc": "Radiology, Hospice and Palliative Medicine",
"state": "OH",
"license": "35-090631",
"primary": false
},
{
"code": "2085N0700X",
"taxonomy_group": "",
"desc": "Radiology, Neuroradiology",
"state": "OH",
"license": "35-090631",
"primary": false
},
{
"code": "2085N0904X",
"taxonomy_group": "",
"desc": "Radiology, Nuclear Radiology",
"state": "OH",
"license": "35-090631",
"primary": false
},
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "OH",
"license": "35-090631",
"primary": false
},
{
"code": "2085R0203X",
"taxonomy_group": "",
"desc": "Radiology, Therapeutic Radiology",
"state": "OH",
"license": "35-090631",
"primary": false
},
{
"code": "2085R0204X",
"taxonomy_group": "",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": "OH",
"license": "35-090631",
"primary": false
},
{
"code": "207U00000X",
"taxonomy_group": "",
"desc": "Nuclear Medicine",
"state": "OH",
"license": "35-090631",
"primary": false
},
{
"code": "207UN0903X",
"taxonomy_group": "",
"desc": "Nuclear Medicine, In Vivo & In Vitro Nuclear Medicine",
"state": "OH",
"license": "35-090631",
"primary": false
},
{
"code": "207UN0901X",
"taxonomy_group": "",
"desc": "Nuclear Medicine, Nuclear Cardiology",
"state": "OH",
"license": "35-090631",
"primary": false
},
{
"code": "207UN0902X",
"taxonomy_group": "",
"desc": "Nuclear Medicine, Nuclear Imaging & Therapy",
"state": "OH",
"license": "35-090631",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "OH",
"license": "35.090631",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3039198",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00880289",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Newark, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2014; 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.