Individual provider Active NPI

Nyeemah Kennedy, MD

  • Family Medicine Physician
  • Pottstown, PA
National Provider Identifier
1831710185
Registry record updated Sep 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD479677 Issued in PA
Practice address
351 W Schuylkill Rd Ste G-15a
Pottstown, PA 19465-7438
Phone
(610) 326-9460
NPI assigned
Apr 28, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD479677 PA Primary

Addresses

Primary practice location

351 W Schuylkill Rd Ste G-15a
Pottstown, PA 19465-7438

Mailing address

351 W Schuylkill Rd Ste G-15a
Pottstown, PA 19465-7438
Phone (610) 326-9460

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, WV2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20231030002937 PA Practitioner - Family PracticePractitioner - General Practice 5193142792 Reassigns benefits to 4 organizations
I20251120001296 WV Practitioner - Family Practice 5193142792 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Health and Dental Care IncGroup PAC ID 5395804827, 10 clinicians

Practice addresses (Care Compare)

351 W Schuylkill Rd
Suite G 15a
Pottstown, PA 19465-7438
Phone (610) 326-9460

Hospital & facility affiliations

  • Pottstown Hospital Hospital, Pottstown, PA, CCN 390123

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health and Dental Care, Inc CurrentSince Apr 17, 2024 Accepting new patients
Signify Health Medical Associates, PLLC General Practice CurrentSince Aug 13, 2023 Accepting new patients
Public Health Management Corporation Current Accepting new patients
Public Health Management Corporation CurrentSince Oct 9, 2023 Accepting new patients
Covenant House Inc CurrentSince Jan 28, 2025 Accepting new patients
Covenant House Inc CurrentSince Jan 28, 2025 Accepting new patients
Public Health Mangement Corporation CurrentSince Oct 9, 2023 Accepting new patients
Community Health and Dental Care, Inc CurrentSince Apr 17, 2024 Accepting new patients

Locations

600 N 2nd St
Ste 401
Harrisburg, PA 17101
Phone (844) 341-2339

5675 N Front St
Philadelphia, PA 19120
Phone (215) 224-0440

1900 N 9th St
Ste 104
Philadelphia, PA 19122
Phone (215) 735-6690

125 S 9th St
Philadelphia, PA 19107
Phone (215) 592-4500

1200 Callowhill St
Ste 101
Philadelphia, PA 19123
Phone (215) 825-8212

251 E Bringhurst St
Philadelphia, PA 19144
Phone (215) 248-7560

351 W Schuylkill Rd
Ste G15A
Pottstown, PA 19465
Phone (484) 948-3097

700 Heritage Dr
Ste 701
Pottstown, PA 19464
Phone 6103269460193

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Interoperability endpoints

  • Direct secure messaging: nyeemah.kennedy.p1@direct.covenanthousehealth.nextgenshare.com
  • Direct secure messaging: nyeemah.kennedy.p12@direct.cornerstonecare.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: nyeemah.kennedy.p1@direct.chdc.nextgenshare.com

Organizations & group practices 8

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 2

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": "1588032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726790400000",
    "number": "1831710185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "351 W SCHUYLKILL RD STE G-15A",
            "city": "POTTSTOWN",
            "state": "PA",
            "postal_code": "194657438",
            "telephone_number": "610-326-9460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "351 W SCHUYLKILL RD STE G-15A",
            "city": "POTTSTOWN",
            "state": "PA",
            "postal_code": "194657438",
            "telephone_number": "610-326-9460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNEDY",
        "first_name": "NYEEMAH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-28",
        "last_updated": "2024-09-20",
        "certification_date": "2024-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD479677",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pottstown, PA

Sources for this page

Verify at the official NPI Registry.