Richard Gordon Kennedy, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

167256 Issued in NY

Practice address

1835 Fairport Nine Mile Point Rd
Ste 100
Penfield, NY 14526-1903

Phone

(585) 758-0777

Fax

(585) 388-9079

NPI assigned

Apr 20, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

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

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 and National Provider Directory roles.

• University of Rochester

  • Internal Medicine Physician
  • Rochester, NY
  • NPI 1710226824
  Medicare reassignment NPD
• University of Rochester

  dba Strong Memorial Hospital-University of Rochester

  • Community/Retail Pharmacy
  • Rochester, NY
  • NPI 1598476269
  NPD
• University of Rochester

  dba Strong Memorial Hospital MD Group

  • Internal Medicine Physician
  • Rochester, NY
  • NPI 1821152588
  NPD (past)

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

{
    "created_epoch": "1145491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473984000000",
    "number": "1881659845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1835 FAIRPORT NINE MILE POINT RD",
            "address_2": "STE 100",
            "city": "PENFIELD",
            "state": "NY",
            "postal_code": "145261903",
            "telephone_number": "585-758-0777",
            "fax_number": "585-388-9079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1835 FAIRPORT NINE MILE POINT RD",
            "address_2": "STE 100",
            "city": "PENFIELD",
            "state": "NY",
            "postal_code": "145261903",
            "telephone_number": "585-758-0777",
            "fax_number": "585-388-9079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNEDY",
        "first_name": "RICHARD",
        "middle_name": "GORDON",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-20",
        "last_updated": "2016-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "167256",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01159993",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Karyn Dietz Therapy Inc
• Kerry L Katlic, M.D.
• Tami R Keiser
• Deborah Grace Kelleher-Jordan, CCC-SLP
• Allison Kem
• Harpreet Kaur Khera, RN, PMHNP
• John Kiweewa
• Patricia M Klein, LMSW
• Waldemar Klimek, D.O.
• Kevin E Klossner, M.D.

• Family Medicine Physician in Penfield, NY
• Providers in Penfield, NY by specialty
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2016; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.