NPIMap

Individual provider Active NPI

Thomas J Kenney Jr., MD

  • Gastroenterology Physician
  • Norwell, MA
National Provider Identifier
1851328959
Registry record updated Jan 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
77744 Issued in MA
Practice address
143 Longwater Dr
Norwell, MA 02061-1683
Phone
(781) 878-5200
Fax
(781) 878-6750
NPI assigned
Jun 26, 2006
Last updated
Jan 24, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 77744 MA Primary

Addresses

Primary practice location

143 Longwater Dr
Norwell, MA 02061-1683

Mailing address

143 Longwater Drive
Norwell, MA 02061-9147
Phone (781) 878-5200

Other identifiers 11

IdentifierTypeStateIssuer
9829270OtherCIGNA
AA174510OtherHARVARD PILGRIM
042297845OtherCOVENTRY
1851328959OtherMANHP
5502710OtherAETNA
042297845OtherUNITED HEALTH CARE
1851328959MedicaidMA
042297845OtherTRICARE
042297845OtherMULTIPLAN
077744OtherTUFTS & TMP
SS0069OtherMABCBSMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040720000113 MA Practitioner - Gastroenterology 7810976016 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
George Washington University School of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
South Shore Medical Center, Inc.Group PAC ID 3678487444, 174 clinicians
South Suburban Gastroenterology PCGroup PAC ID 9931194412, 50 clinicians

Practice addresses (Care Compare)

143 Longwater Dr
Norwell, MA 02061-1683
Phone (781) 878-5200

97 Libbey Pkwy
Suite 300
Weymouth, MA 02189-3110
Phone (781) 331-2922

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy145
Upper gastrointestinal (GI) endoscopy for acid reflux142

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
77744MAMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
South Shore Medical Center, Inc. Gastroenterology CurrentSince Apr 1, 2010 Accepting new patients
South Suburban Gastroenterology, PC Gastroenterology CurrentSince Apr 1, 2017 Accepting new patients
Steward Medical Group, Inc CurrentSince May 1, 2012 Accepting new patients
Steward Medical Group, Inc CurrentSince May 1, 2012 Accepting new patients
Weymouth Endoscopy, LLC PastSince Apr 1, 2017 Accepting new patients
South Shore Medical Center, Inc Past Accepting new patients

Locations

11 Nevins St
Ste 501
Brighton, MA 02135
Phone (617) 779-6512

11 Nevins St
Ste 201
Brighton, MA 02135
Phone (617) 789-2442

5 Tarkiln Rd
Kingston, MA 02364
Phone (781) 585-2200

143 Longwater Dr
Norwell, MA 02061
Phone (781) 792-4136

55 Fogg Rd
Weymouth, MA 02190
Phone (781) 340-4293

97 Libbey Park
Ste 300
Weymouth, MA 02189
Phone (781) 331-2922

541 Main St
Ste 314
Weymouth, MA 02190
Phone (781) 952-1200

1085 Main St
Weymouth, MA 02190
Phone (781) 331-2922

90 Libbey Park
Weymouth, MA 02189
Phone (781) 331-0537

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 9

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": "1151280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485216000000",
    "number": "1851328959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "143 LONGWATER DRIVE",
            "city": "NORWELL",
            "state": "MA",
            "postal_code": "020619147",
            "telephone_number": "781-878-5200",
            "fax_number": "781-878-6750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "143 LONGWATER DR",
            "city": "NORWELL",
            "state": "MA",
            "postal_code": "020611683",
            "telephone_number": "781-878-5200",
            "fax_number": "781-878-6750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNEY",
        "first_name": "THOMAS",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-26",
        "last_updated": "2017-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "MA",
            "license": "77744",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "9829270",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM",
            "identifier": "AA174510",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COVENTRY",
            "identifier": "042297845",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NHP",
            "identifier": "1851328959",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5502710",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "042297845",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1851328959",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "042297845",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MULTIPLAN",
            "identifier": "042297845",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS & TMP",
            "identifier": "077744",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSMA",
            "identifier": "SS0069",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Norwell, MA

Sources for this page

Verify at the official NPI Registry.