Benjamin L Kennah, PA-C

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

103875 Issued in AK

Practice address

4100 Lake Otis Pkwy Ste 220
Anchorage, AK 99508-5230

Phone

(907) 563-3145

Fax

(833) 464-5196

NPI assigned

Dec 8, 2015

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

Medicare fee-for-service enrollment

Enrolled in AK

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

University of Washington School of Medicine, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Select Physical Therapy Holdings IncGroup PAC ID 9537076401, shared by 76 NPIs, 1,992 clinicians

Medical Network of Alaska LLCGroup PAC ID 3072618859, 70 clinicians

Anchorage Fracture and Orthopaedic Clinic PCGroup PAC ID 7517914187, 33 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Providence Alaska Medical Center Hospital, Anchorage, AK, CCN 020001

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: benjamin.kennah.1@27294.direct.athenahealth.com
• Direct secure messaging: benjamin.kennah.1@33745.direct.athenahealth.com

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.

• Anchorage Fracture and Orthopaedic Clinic, PC

  • Orthopaedic Surgery Physician
  • Anchorage, AK
  • NPI 1285677054
  Medicare reassignment Care Compare group NPD
• Medical Network of Alaska, LLC

  • Urgent Care Clinic/Center
  • Wasilla, AK
  • NPI 1538414834
  Medicare reassignment Care Compare group
• Orthopaedic Research Clinic of Alaska Inc

  • Orthopaedic Surgery Physician
  • Anchorage, AK
  • NPI 1760691612
  Medicare reassignment
• Anchorage Fracture and Orthopaedic Clinic, PC

  • Durable Medical Equipment & Medical Supplies
  • Wasilla, AK
  • NPI 1831774298
  NPD
• Medical Network of Alaska, LLC

  • Clinical Medical Laboratory
  • Wasilla, AK
  • NPI 1467167585
  NPD
• Medical Network of Alaska, LLC

  • Rheumatology Physician
  • Wasilla, AK
  • NPI 1609515048
  NPD
• Medical Network of Alaska, LLC

  • Otolaryngology Physician
  • Anchorage, AK
  • NPI 1922862986
  NPD
• Benjamin Kennah PA-C

  • Surgical Physician Assistant
  • Anchorage, AK
  • NPI 1134599061
  NPD (past)

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

• Providence Health & Services Washington

  • General Acute Care Hospital
  • Anchorage, AK
  • NPI 1053363119
  Care Compare affiliation

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

{
    "created_epoch": "1449532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735776000000",
    "number": "1902271547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4100 LAKE OTIS PKWY STE 220",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995085230",
            "telephone_number": "907-563-3145",
            "fax_number": "833-464-5196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 LAKE OTIS PKWY STE 220",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995085230",
            "telephone_number": "907-563-3145",
            "fax_number": "833-464-5196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNAH",
        "first_name": "BENJAMIN",
        "middle_name": "L",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-12-08",
        "last_updated": "2025-01-02",
        "certification_date": "2025-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "AK",
            "license": "103875",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anna Kendall
• Brittany Joy Kendall, PSYD
• Judy Nathalie Kendall
• Emma Joyce Kenna, DPT
• Skyler Kenna, PA-C
• Ekaterina Kennedy
• Joshua Michael Kennedy, D.M.D.
• Kerry D Kennedy, DDS
• Pamela Ann Kennedy, M.S.
• Roisin N Kennedy, DC

• Surgical Physician Assistant in Anchorage, AK
• Providers in Anchorage, AK by specialty
• Surgical Physician Assistant in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2025; 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.