Charles M Kenney III, M.D.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

26688 Issued in KY

Practice address

1218 South Broadway
Suite 310
Lexington, KY 40504-2759

Phone

(859) 219-0542

Fax

(859) 219-9433

NPI assigned

Apr 26, 2006

Last updated

Mar 22, 2017By 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 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in KY, FL2 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

Specialty

Diagnostic Radiology

Education

University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Central Kentucky Radiology PLLCGroup PAC ID 8921906983, 54 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Saint Joseph London Hospital, London, KY, CCN 180011
• Saint Joseph Hospital Hospital, Lexington, KY, CCN 180010
• CHI Saint Joseph Flaget Memorial Hospital Hospital, Bardstown, KY, CCN 180025
• Saint Joseph East Hospital, Lexington, KY, CCN 180143
• Saint Joseph Mount Sterling Hospital, Mount Sterling, KY, CCN 180064

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.

• Central Kentucky Radiology PLLC

  • Diagnostic Radiology Physician
  • Lexington, KY
  • NPI 1952350761

  FL

  Medicare reassignment Care Compare group NPD
• Bluegrass Regional Imaging LLC

  • Diagnostic Radiology Physician
  • Lexington, KY
  • NPI 1417110842
  NPD
• Bluegrass Regional Imaging LLC

  • Diagnostic Radiology Physician
  • Lexington, KY
  • NPI 1669636486
  NPD
• Bluegrass Regional Imaging LLC

  • Diagnostic Radiology Physician
  • Lexington, KY
  • NPI 1871542670
  NPD
• Dayspring Auxiliary Services, LLC

  • Physiological Laboratory
  • Williamsburg, KY
  • NPI 1134990070
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Flaget Healthcare, Inc

  dba CHI Saint Joseph Health - Flaget Memorial Hospital

  • General Acute Care Hospital
  • Bardstown, KY
  • NPI 1871588772
  Care Compare affiliation
• Saint Joseph Health System Inc

  dba Kentucky Laboratory System

  • Clinical Medical Laboratory
  • Lexington, KY
  • NPI 1215227012

  Hospital

  Care Compare affiliation
• Saint Joseph Health System, Inc

  dba CHI Saint Joseph Hospital

  • General Acute Care Hospital
  • Lexington, KY
  • NPI 1437150984
  Care Compare affiliation
• Saint Joseph Health System, Inc

  dba CHI Saint Joseph East

  • General Acute Care Hospital
  • Lexington, KY
  • NPI 1447457775
  Care Compare affiliation
• Saint Joseph Health System, Inc

  dba CHI Saint Joseph Mount Sterling

  • General Acute Care Hospital
  • Mt Sterling, KY
  • NPI 1679679146
  Care Compare affiliation
• Saint Joseph Health System, Inc

  dba CHI Saint Joseph Jessamine

  • Clinic/Center
  • Nicholasville, KY
  • NPI 1861650814

  Hospital

  Care Compare affiliation
• Saint Joseph Health System, Inc

  dba CHI Saint Joseph London

  • Rural Acute Care Hospital
  • London, KY
  • NPI 1992701429
  Care Compare affiliation

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

{
    "created_epoch": "1146009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490140800000",
    "number": "1871550889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1218 SOUTH BROADWAY",
            "address_2": "SUITE 310",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405042759",
            "telephone_number": "859-219-0542",
            "fax_number": "859-219-9433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1218 SOUTH BROADWAY",
            "address_2": "SUITE 310",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405042759",
            "telephone_number": "859-219-0542",
            "fax_number": "859-219-9433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNEY",
        "first_name": "CHARLES",
        "middle_name": "M",
        "name_suffix": "III",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-26",
        "last_updated": "2017-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "KY",
            "license": "26688",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "KY",
            "license": "26688",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64266885",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robbie Joseph Kennedy, D.C
• Sarah Kennedy
• Stacey Kennedy
• Alexandra Kenner, PHARMD
• Kenney Orthopedic, LLC (Hanger Clinic I)
• Marta H Kenney, M.D.
• David Kent, LPCA
• Kenton Healthcare Center
• Kentuckentucky Foot & Ankle Associates, PLLC
• Kentuckiana ABA LLC (Kentuckiana ABA)

• Diagnostic Radiology Physician in Lexington, KY
• Providers in Lexington, KY by specialty
• Diagnostic Radiology Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2017; 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.