Individual provider Active NPI

Adam Kennedy, M.D.

  • Orthopaedic Surgery Physician
  • Lafayette, LA
National Provider Identifier
1841418449
Registry record updated Sep 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
203724 Issued in LA
Practice address
4212 W Congress St Ste 3100
Lafayette, LA 70506-6771
Phone
(337) 703-3201
Fax
(337) 703-3202
NPI assigned
Apr 22, 2007
Last updated
Sep 19, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 19, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Orthopaedic Surgery Physician 207X00000X 203724 LA Primary

Addresses

Primary practice location

4212 W Congress St Ste 3100
Lafayette, LA 70506-6771

Mailing address

PO Box 919229
Dallas, TX 75391-9229
Phone (337) 289-8944

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20120718000822 LA Practitioner - Orthopedic Surgery 7618133695 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Louisiana State University School of Medicine in New Orleans, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Lafayette Health Ventures IncGroup PAC ID 9335043074, 299 clinicians

Practice addresses (Care Compare)

1214 Coolidge Blvd
Lafayette, LA 70503-2621
Phone (337) 289-7374

1555 Gary Dr
Suite B
Breaux Bridge, LA 70517-3448
Phone (337) 233-9900

210 Champagne Blvd
Breaux Bridge, LA 70517-3700
Phone (337) 332-2178

220 Champagne Blvd
Breaux Bridge, LA 70517-3700
Phone (337) 909-6520

2390 W Congress St
Lafayette, LA 70506-4205
Phone (337) 261-6000

2810 Ambassador Caffery Pkwy
Lafayette, LA 70506-5906
Phone (337) 981-2949

4212 W Congress St
Lafayette, LA 70506-6765

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Knee replacement40
Upper limb (arm) arthroscopy (minimally invasive joint repair)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
203724LAMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lafayette Health Ventures Inc CurrentSince Jan 4, 2014 Accepting new patients
Lafayette Health Ventures Inc Current Accepting new patients
Lafayette Health Ventures, Inc CurrentSince Jan 4, 2014 Accepting new patients
University Hospital & Clinics, Inc. CurrentSince Oct 11, 2022 Accepting new patients
University Hospital & Clinics Inc CurrentSince Oct 11, 2022 Accepting new patients
Acadiana Imaging Services LLC Past Accepting new patients
Adam Kennedy MD LLC Orthopaedic Surgery PastSince Aug 1, 2012 Accepting new patients

Locations

1555 Gary Dr
#B
Breaux Bridge, LA 70517
Phone (337) 233-9900

220 Champagne Blvd
Breaux Bridge, LA 70517
Phone (337) 909-6520

1000 W Pinhook Rd
Ste 305
Lafayette, LA 70503
Phone (337) 235-1600

1100 Bertrand Dr
Lafayette, LA 70506
Phone (337) 261-8500

2390 W Congress St
Lafayette, LA 70506
Phone (337) 261-6000

4212 W Congress St
Ste 3100
Lafayette, LA 70506
Phone (337) 703-3201

900 E Saint Mary Blvd
Ste 106
Lafayette, LA 70503
Phone (337) 289-8861

Interoperability endpoints

  • Direct secure messaging: adam.kennedy@796.chartlogic.direct-ci.com
  • Direct secure messaging: akennedy1443225@direct.ochsner.org

Organizations & group practices 7

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.

Hospital & facility affiliations 6

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": "1177200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568851200000",
    "number": "1841418449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 919229",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753919229",
            "telephone_number": "337-289-8944",
            "fax_number": "337-571-0030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4212 W CONGRESS ST STE 3100",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705066771",
            "telephone_number": "337-703-3201",
            "fax_number": "337-703-3202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNEDY",
        "first_name": "ADAM",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-22",
        "last_updated": "2019-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "LA",
            "license": "203724",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, LA

Sources for this page

Verify at the official NPI Registry.