Individual provider Active NPI

John M Kennedy, M.D.

  • Hematology & Oncology Physician
  • Denver, CO
National Provider Identifier
1912095787
Registry record updated Dec 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
DR.62849 Issued in CO
Practice address
2555 S Downing St Ste 240
Denver, CO 80210-5855
Phone
(303) 715-7030
Fax
(303) 715-7035
NPI assigned
Oct 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 24, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X DR.62849 CO Primary
Hematology & Oncology Physician 207RH0003X 025329 LA

Addresses

Primary practice location

2555 S Downing St Ste 240
Denver, CO 80210-5855

Mailing address

2555 S Downing St Ste 240
Denver, CO 80210-5855
Phone (303) 715-7030

Other practice location 1

1990 Industrial BLVD.
Houma, LA 70363-7055
Phone (985) 868-9300

Other identifiers 1

IdentifierTypeStateIssuer
1575780MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WY, VT, CO3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20191213002362 WY Practitioner - Hematology/Oncology 5294770756 Reassigns benefits to 1 organization
I20240923003084 VT Practitioner - Hematology/Oncology 5294770756 Reassigns benefits to 1 organization
I20251208001982 CO Practitioner - Internal MedicinePractitioner - Hematology/Oncology 5294770756 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Hematology/Oncology
Education
Louisiana State University School of Medicine in New Orleans, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

2350 Meadows Blvd
Castle Rock, CO 80109-8405
Phone (720) 455-0650

2353 Meadows Blvd
Suite 300
Castle Rock, CO 80109-8405
Phone (720) 455-3750

2360 Meadows Blvd
Suite 300
Castle Rock, CO 80109-8405
Phone (303) 715-7106

2525 S Downing St
Denver, CO 80210-5817

2535 D S Downing St
Suite 460
Denver, CO 80210-5817
Phone (303) 744-1065

2535 S Downing St
Denver, CO 80210-5850
Phone (303) 778-5797

2555 S Downing St
240 Aah Cypress Denver
Denver, CO 80210-5855
Phone (303) 715-7030

2555 S Downing St 1St Floor
WHCC WH Cherry Creek
Denver, CO 80210-5855
Phone (303) 316-6677

4350 Limelight Ave
Suite 100
Castle Rock, CO 80109-8034
Phone (720) 455-3775

7700 S Broadway
Littleton, CO 80122-2602
Phone (303) 730-8900

7750 S Broadway
Littleton, CO 80122-2630

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.68 of 100Reported as group
Quality
75.73
Promoting interoperability
100
Improvement activities
40
Cost
76.55

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DR.62849COMDHematology & Oncology Physician
025329LAMDHematology & Oncology Physician
042.0014730VTMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Portercare Adventist Health System CurrentSince Nov 17, 2025 Accepting new patients
Portercare Adventist Health System Current Accepting new patients
Portercare Adventist Health System CurrentSince Nov 17, 2025 Accepting new patients
Ivinson Memorial Hospital CurrentSince Oct 18, 2019 Accepting new patients
Ivinson Memorial Hospital CurrentSince Oct 18, 2019 Accepting new patients
Salida Hospital District CurrentSince Jan 12, 2026 Accepting new patients
Southwestern Vermont Medical Center Inc. Hematology & Oncology Current Accepting new patients
Southwestern Vermont Medical Center, Inc CurrentSince Sep 1, 2024 Accepting new patients
Salida Hospital District CurrentSince Jan 12, 2026 Accepting new patients
Southwestern Vermont Medical Center Inc. CurrentSince Sep 1, 2024 Accepting new patients
Portercare Adventist Health System Past Accepting new patients
Tri Parish Pet Scans Past Accepting new patients

Locations

2360 Meadows Blvd
Ste 300
Castle Rock, CO 80109
Phone (303) 269-4420

2555 S Downing St
Ste 240
Denver, CO 80210
Phone (303) 715-7030

7750 S Broadway
Ste 100
Littleton, CO 80122
Phone (303) 734-2090

9403 Crown Crest Blvd
Ste 115
Parker, CO 80138
Phone (303) 269-4420

1000 Rush Dr
Salida, CO 81201
Phone (719) 530-2265

100 Hospital Dr
#44
Bennington, VT 05201
Phone (802) 442-4509

140 Hospital Dr
Ste 116
Bennington, VT 05201
Phone (802) 447-1836

255 N 30th St
Laramie, WY 82072
Phone (307) 742-2141

3116 Willett Dr
Laramie, WY 82072
Phone (307) 742-6319

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766534400000",
    "number": "1912095787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2555 S DOWNING ST STE 240",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802105855",
            "telephone_number": "303-715-7030",
            "fax_number": "303-715-7035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2555 S DOWNING ST STE 240",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802105855",
            "telephone_number": "303-715-7030",
            "fax_number": "303-715-7035"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1990 Industrial BLVD.",
            "address_purpose": "LOCATION",
            "city": "Houma",
            "state": "LA",
            "postal_code": "703637055",
            "country_code": "US",
            "telephone_number": "985-868-9300",
            "fax_number": "985-851-0053",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KENNEDY",
        "first_name": "JOHN",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-10",
        "last_updated": "2025-12-24",
        "certification_date": "2025-12-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "CO",
            "license": "DR.62849",
            "primary": true
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "LA",
            "license": "025329",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1575780",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.