Active NPI
Thomas M. Kennedy, M.D.
- Anesthesiology Physician
- Albany, NY
National Provider Identifier
1821093121
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 159489-0
- Practice address
- 1450 Western Ave
Suite 102
Albany, NY 12203-3539 - Phone
- (518) 463-0050
- Fax
- (518) 207-2973
- NPI assigned
- Jun 15, 2005
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 159489-0 | NY | Primary |
Addresses
Primary practice location
1450 Western Ave
Suite 102
Albany, NY 12203-3539
Mailing address
1450 Western Ave
Suite 102
Albany, NY 12203-3539
Phone (518) 463-0050
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Albany Medical College of Union University, 1983
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5 Johnson Rd
Latham, NY 12110-3096
Phone (518) 782-1181
Merit-based Incentive Payment System (MIPS)
- Final score
- 17.56 of 100
- Quality
- 3.01
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 159489-0 | NY | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| JJM Medical Services, PC | Anesthesiology | Current | Accepting new patients |
Locations
5 Johnson Rd
Latham, NY 12110
Phone (518) 767-0869
Interoperability endpoints
- tkennedy788306@direct.trinity-health.org
Organizations & group practices 1
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": "1118793600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1464048000000",
"number": "1821093121",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1450 WESTERN AVE",
"address_2": "SUITE 102",
"city": "ALBANY",
"state": "NY",
"postal_code": "122033539",
"telephone_number": "518-463-0050",
"fax_number": "518-207-2973"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1450 WESTERN AVE",
"address_2": "SUITE 102",
"city": "ALBANY",
"state": "NY",
"postal_code": "122033539",
"telephone_number": "518-463-0050",
"fax_number": "518-207-2973"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KENNEDY",
"first_name": "THOMAS",
"middle_name": "M.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-15",
"last_updated": "2016-05-24",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "NY",
"license": "159489-0",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Albany, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 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.
- 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.