Individual provider Active NPI

Kevin Meers Kennedy, MD

  • Anesthesiology Physician
  • Birmingham, AL
National Provider Identifier
1831225838
Registry record updated Dec 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
18754 Issued in AL
Practice address
1515 6TH Ave S
Cooper Green Hospital
Birmingham, AL 35233-1601
Phone
(205) 930-3612
Fax
(205) 930-3322
NPI assigned
Feb 26, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 18754 AL Primary

Addresses

Primary practice location

1515 6TH Ave S
Cooper Green Hospital
Birmingham, AL 35233-1601

Mailing address

PO Box 55962
Birmingham, AL 35255-5962
Phone (205) 930-3612

Other identifiers 2

IdentifierTypeStateIssuer
009915775MedicaidAL
051513724OtherALBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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

Enrollment IDStateProvider typePAC IDDetails
I20111219000711 AL Practitioner - Anesthesiology 5799950846 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Louisiana State University School of Medicine in New Orleans, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southern Perioperative Services P CGroup PAC ID 9234041815, 28 clinicians

Practice addresses (Care Compare)

150 Gilbreath Dr
Oneonta, AL 35121-2827
Phone (205) 338-2939

2030 Lay Dam Rd
Clanton, AL 35045-8344
Phone (205) 481-8543

7063 Veterans Pkwy
Pell City, AL 35125-5114
Phone (205) 338-2939

975 9TH Ave SW
Bessemer, AL 35022-4527
Phone (205) 481-7000

Hospital & facility affiliations

  • St Vincent'S St Clair Hospital, Pell City, AL, CCN 010130
  • St Vincent'S Chilton Hospital, Clanton, AL, CCN 010173

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Perioperative Services P C Anesthesiology CurrentSince Feb 4, 2013 Accepting new patients
Decatur Anesthesiology Anesthesiology Past Accepting new patients
Jefferson Clinic, P.C. Past Accepting new patients
Deactur Anesthesiology & Associates, LLC Past Accepting new patients

Locations

975 9th Ave SW
Bessemer, AL 35022
Phone (205) 481-8700

1600 Carraway Blvd
Birmingham, AL 35234
Phone (205) 502-6000

2030 Lay Dam Rd
Clanton, AL 35045
Phone (205) 258-4400

7191 Cahaba Valley Rd
Ste 102
Hoover, AL 35242
Phone (205) 408-6600

150 Gilbreath Dr
Oneonta, AL 35121
Phone (205) 274-3000

7063 Veterans Pkwy
Pell City, AL 35125
Phone (205) 338-3301

Organizations & group practices 4

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 3

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

NPI Registry JSON

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355184000000",
    "number": "1831225838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 55962",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352555962",
            "telephone_number": "205-930-3612",
            "fax_number": "205-930-3322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 6TH AVE S",
            "address_2": "COOPER GREEN HOSPITAL",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352331601",
            "telephone_number": "205-930-3612",
            "fax_number": "205-930-3322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNEDY",
        "first_name": "KEVIN",
        "middle_name": "MEERS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-26",
        "last_updated": "2012-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "AL",
            "license": "18754",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009915775",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "051513724",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.