Individual provider Active NPI

Hugh Kennedy, MD

  • Urology Physician
  • Hartford, CT
National Provider Identifier
1841210531
Registry record updated Apr 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
029026 Issued in CT
Practice address
19 Woodland St
Suite 23
Hartford, CT 06105-2372
Phone
(860) 522-2251
NPI assigned
Jul 19, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 23, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 029026 CT Primary

Addresses

Primary practice location

19 Woodland St
Suite 23
Hartford, CT 06105-2372

Mailing address

1000 Asylum Ave
Suite 2103
Hartford, CT 06105-1770

Other identifiers 1

IdentifierTypeStateIssuer
001290262MedicaidCT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20110930000411 CT Practitioner - Urology 1759469133 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
029026CTMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Trinity Health of New England Provider Network Organization Inc CurrentSince May 1, 2014 Accepting new patients
Hartford Urology Group Urology Current Accepting new patients
Trinity Health of New England Provider Network Organization Inc CurrentSince May 1, 2014 Accepting new patients
Saint Francis Care Medical Group, P.C. Past Accepting new patients
Saint Francis Emergency Medical Group, Inc. Past Accepting new patients
Greater Hartford Lithotripsy, LLC Urology Past Accepting new patients

Locations

300 Hebron Ave
Ste 207
Glastonbury, CT 06033
Phone (860) 659-0585

114 Woodland St
Hartford, CT 06105
Phone (860) 714-4001

19 Woodland St
Ste 23
Hartford, CT 06105

1000 Asylum Ave
Ste 2103
Hartford, CT 06105
Phone (860) 527-3861

1000 Asylum Ave
Ste 4309
Hartford, CT 06105
Phone (860) 714-4088

Organizations & group practices 6

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": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398211200000",
    "number": "1841210531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 ASYLUM AVE",
            "address_2": "SUITE 2103",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061051770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 WOODLAND ST",
            "address_2": "SUITE 23",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061052372",
            "telephone_number": "860-522-2251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNEDY",
        "first_name": "HUGH",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-19",
        "last_updated": "2014-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "CT",
            "license": "029026",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001290262",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hartford, CT

Sources for this page

Verify at the official NPI Registry.