Individual provider Active NPI

Christopher Terry Kennedy, M.D.

  • Emergency Medicine Physician
  • Dallas, TX
National Provider Identifier
1912340431
Registry record updated Aug 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
Q7722 Issued in TX
Practice address
12221 Merit Dr
Suite 1500
Dallas, TX 75251-2202
Phone
(214) 217-1911
NPI assigned
Apr 15, 2013
Last updated
Aug 4, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Emergency Medicine Physician 207P00000X Q7722 TX Primary

Addresses

Primary practice location

12221 Merit Dr
Suite 1500
Dallas, TX 75251-2202

Mailing address

12221 Merit Dr
Suite 1500
Dallas, TX 75251-2202
Phone (214) 217-1911

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, FL, GA, MI4 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 4

Enrollment IDStateProvider typePAC IDDetails
I20160713001405 TX Practitioner - Emergency Medicine 2365744877 Reassigns benefits to 3 organizations
I20231013001368 FL Practitioner - Emergency Medicine 2365744877 Reassigns benefits to 1 organization
I20231018003313 GA Practitioner - Emergency Medicine 2365744877 Reassigns benefits to 1 organization
I20231115001986 MI Practitioner - Emergency Medicine 2365744877 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of Alabama School of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emcare RSN Emergency Physicians PLLCGroup PAC ID 8527245166, 14 clinicians

Practice addresses (Care Compare)

1500 S Dallas Pkwy
Celina, TX 75009-3495
Phone (954) 939-5000

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Northside Emergency Associates, LLC Emergency Medicine CurrentSince Sep 9, 2023 Accepting new patients
Sheridan Emergency Physician Services Inc Emergency Medicine CurrentSince Oct 1, 2023 Accepting new patients
Epmg of Michigan, P.C. Emergency Medicine CurrentSince Oct 11, 2023 Accepting new patients
Emcare RSN Emergency Physicians PLLC Emergency Medicine CurrentSince Jun 3, 2024 Accepting new patients
Questcare Medical Services, PLLC Emergency Medicine CurrentSince Jul 5, 2017 Accepting new patients
Legacy Urgent Care, PA CurrentSince Feb 1, 2024 Accepting new patients
Sheridan Emergency Physician Services Inc Emergency Medicine CurrentSince Oct 1, 2023 Accepting new patients
Questcare Medical Services, PLLC Emergency Medicine CurrentSince Jul 5, 2017 Accepting new patients
Frisco Emergency Medicine Associates, PA Emergency Medicine Past Accepting new patients

Locations

1210 S Old Dixie Hwy
Jupiter, FL 33458
Phone (561) 743-5073

1431 SW 1st Ave
Ocala, FL 34471
Phone (352) 401-1425

4600 SW 46th Ct
Ocala, FL 34474
Phone (352) 291-3000

1000 Johnson Ferry Rd
Sandy Springs, GA 30342
Phone (404) 851-8737

620 Byron Rd
Howell, MI 48843
Phone (517) 545-5450

3301 Matlock Rd
Arlington, TX 76015
Phone (682) 509-6200

1500 S Dallas Pkwy
Celina, TX 75009
Phone (469) 204-2021

330 S Denton Tap Rd
Coppell, TX 75019
Phone (469) 312-7777

7777 Forest Ln
Dallas, TX 75230
Phone (972) 566-7283

9205 Legacy Dr
Frisco, TX 75033
Phone (972) 625-6020

13172 Highway 287
Haslet, TX 76052
Phone (682) 703-4410

2810 S Hardin Blvd
Ste 100
McKinney, TX 75072
Phone (972) 548-7277

8950 N Tarrant Pkwy
North Richlnd Hls, TX 76182
Phone (817) 281-7277

3901 W 15th St
Plano, TX 75075
Phone (972) 519-1115

2831 George Bush Hwy
Richardson, TX 75082
Phone (469) 204-1000

401 W Campbell Rd
Richardson, TX 75080
Phone (940) 384-3535

Interoperability endpoints

  • Direct secure messaging: ckennedy86095@ahs.direct-ci.com

Organizations & group practices 9

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 2

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": "1365984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470268800000",
    "number": "1912340431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12221 MERIT DR",
            "address_2": "SUITE 1500",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752512202",
            "telephone_number": "214-217-1911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12221 MERIT DR",
            "address_2": "SUITE 1500",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752512202",
            "telephone_number": "214-217-1911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNEDY",
        "first_name": "CHRISTOPHER",
        "middle_name": "TERRY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-04-15",
        "last_updated": "2016-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "Q7722",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.