Neil Kennedy, MD

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

51546-020 Issued in WI

Practice address

700 S Park St
Attn: Madison Radiologists, S.C.
Madison, WI 53715-1830

Phone

(608) 251-6100

Fax

(608) 826-2710

NPI assigned

Nov 24, 2006

Last updated

Aug 29, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in WI, IL, TN, OR4 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 4

Specialty

Diagnostic Radiology

Education

University of Wisconsin School of Medicine, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ft Jesse Imaging Center LLCGroup PAC ID 1951379106, 10 clinicians

Imaging Specialists PLLCGroup PAC ID 0143218560, 39 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ft. Jesse Imaging Center LLC

  • Radiology Clinic/Center
  • Normal, IL
  • NPI 1245287143

  Diagnostic Radiology, WI

  Medicare reassignment Care Compare group NPD
• Imaging Specialists PLLC

  • Diagnostic Radiology Physician
  • Brentwood, TN
  • NPI 1659340636
  Medicare reassignment Care Compare group NPD
• Beloit Radiology LTD

  • Diagnostic Radiology Physician
  • Beloit, WI
  • NPI 1386661734
  Medicare reassignment NPD
• Dean Health Systems, Inc

  dba SSM Health Dean Medical Group

  • Allergy & Immunology Physician
  • Madison, WI
  • NPI 1053358846
  Medicare reassignment NPD
• Salem Health

  • General Acute Care Hospital
  • Salem, OR
  • NPI 1265431829
  Medicare reassignment NPD
• Dean Health Systems, Inc.

  dba SSM Health Davis Duehr Dean Eye Care - Portage

  • Durable Medical Equipment & Medical Supplies
  • Portage, WI
  • NPI 1427085679
  NPD
• Brier Creek Imaging, LLC

  dba Cardinal Points Imaging of the Carolinas, Brier Creek

  • Radiology Clinic/Center
  • Raleigh, NC
  • NPI 1760610836

  Diagnostic Radiology

  NPD
• Pinnacle Health Services of North Carolina LLC

  dba Cardinal Points Imaging of the Carolinas, Midtown

  • Radiology Clinic/Center
  • Raleigh, NC
  • NPI 1457300089

  Diagnostic Radiology

  NPD
• Pinnacle Health Services of North Carolina, LLC

  dba Cardinal Points Imaging of the Carolinas

  • Radiology Clinic/Center
  • Cary, NC
  • NPI 1346996485

  Diagnostic Radiology

  NPD
• Pinnacle Health Services of North Carolina, LLC

  dba Cardinal Points Imaging of the Carolinas, Clayton

  • Radiology Clinic/Center
  • Clayton, NC
  • NPI 1548454127

  Diagnostic Radiology

  NPD
• Pinnacle Health Services of North Carolina, LLC

  dba Cardinal Points Imaging of the Carolinas, Wake Forest

  • Radiology Clinic/Center
  • Wake Forest, NC
  • NPI 1598959934

  Diagnostic Radiology

  NPD
• Salem Health

  • Durable Medical Equipment & Medical Supplies
  • Keizer, OR
  • NPI 1487434775
  NPD

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

{
    "created_epoch": "1164326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567036800000",
    "number": "1841366770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8200 E 34TH CIR N",
            "address_2": "STE 1404",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672261361",
            "telephone_number": "608-203-5201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 S PARK ST",
            "address_2": "ATTN: MADISON RADIOLOGISTS, S.C.",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537151830",
            "telephone_number": "608-251-6100",
            "fax_number": "608-826-2710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNEDY",
        "first_name": "NEIL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-24",
        "last_updated": "2019-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "A97631",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MO",
            "license": "2003007553",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "WI",
            "license": "51546-020",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "35111800",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00606385",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bernard V Kennedy, PA-C
• Emily Kennedy, LMT LE
• Gail Patrice Kennedy, APNP
• Jordan K Kennedy, PHARMD
• Kristopher John Kennedy, MD
• Tabassum Ahmed Kennedy, M.D.
• William Kennelly, RPH
• Korey A Kennelty, PHARMD, MS
• Kenneth H. Yuska, MD, SC
• Shannon C. Kenney, MD

• Diagnostic Radiology Physician in Madison, WI
• Providers in Madison, WI by specialty
• Diagnostic Radiology Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2019; 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.

Verify at the official NPI Registry.