Active NPI
Kelly Kennedy, MD
- Obstetrics & Gynecology Physician
- Vero Beach, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- ME160223
- Practice address
- 3745 11TH Cir Ste 101
Vero Beach, FL 32960-4838 - Phone
- (772) 567-6412
- Fax
- (321) 567-4991
- NPI assigned
- Mar 29, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics Physician | 207VX0000X | 65523 | WI | |
| Obstetrics & Gynecology Physician | 207V00000X | ME160223 | FL | Primary |
Addresses
Primary practice location
3745 11TH Cir Ste 101
Vero Beach, FL 32960-4838
Mailing address
3745 11TH Cir Ste 101
Vero Beach, FL 32960-4838
Phone (772) 567-6412
Other practice location 1
5350 W. Hillsboro Blvd.
Ste 102
Coconut Creek, FL 33073-4396
Phone (954) 725-7660
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100058166 | Medicaid | WI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3745 11TH Cir
Suite 101
Vero Beach, FL 32960-4838
Phone (321) 452-3811
Hospital & facility affiliations
- Cleveland Clinic Indian River Hospital
- Orlando Health Sebastian River Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME160223 | FL | MD | Obstetrics & Gynecology Physician |
| 65523 | WI | MD | Obstetrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orlando Health Medical Group Inc | Obstetrics & Gynecology | Current | Accepting new patients |
| Steward Medical Group, Inc | Current | Accepting new patients | |
| Dr. Chen OB/GYN P.a. | Obstetrics & Gynecology | Current | Accepting new patients |
| Steward Medical Group, Inc. | Obstetrics & Gynecology | Current | Accepting new patients |
| Orlando Health Medical Group Inc | Current | Accepting new patients | |
| Dr. Chen OB/GYN P.a. | Past | Accepting new patients | |
| Stewart and Stewart a Medical Corporation | Past | Accepting new patients |
Locations
5350 W Hillsboro Blvd
Ste 102
Coconut Creek, FL 33073
Phone (954) 725-7660
32 W Gore St
Orlando, FL 32806
Phone (321) 841-3820
14430 US Highway 1
Ste 104
Sebastian, FL 32958
Phone (772) 589-6400
3745 11th Cir
Ste 101
Vero Beach, FL 32960
Phone (561) 299-3511
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Organizations & group practices 7
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.
-
- Internal Medicine Physician
- Orlando, FL
- NPI 1669429577
Obstetrics & Gynecology
-
- Obstetrics & Gynecology Physician
- Margate, FL
- NPI 1912130618
-
- Durable Medical Equipment & Medical Supplies
- Winter Park, FL
- NPI 1265019541
-
- Specialist
- Coconut Creek, FL
- NPI 1346618832
-
- Family Medicine Physician
- Alhambra, CA
- NPI 1306058565
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Vero Beach, FL
- NPI 1376512988
-
- General Acute Care Hospital
- Sebastian, FL
- NPI 1578381307
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1332979200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1743379200000",
"number": "1992071377",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3745 11TH CIR STE 101",
"city": "VERO BEACH",
"state": "FL",
"postal_code": "329604838",
"telephone_number": "772-567-6412",
"fax_number": "321-567-4991"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3745 11TH CIR STE 101",
"city": "VERO BEACH",
"state": "FL",
"postal_code": "329604838",
"telephone_number": "772-567-6412",
"fax_number": "321-567-4991"
}
],
"practiceLocations": [
{
"address_1": "5350 W. Hillsboro Blvd.",
"address_2": "Ste 102",
"address_purpose": "LOCATION",
"city": "Coconut Creek",
"state": "FL",
"postal_code": "330734396",
"country_code": "US",
"telephone_number": "954-725-7660",
"fax_number": "954-725-7605",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KENNEDY",
"first_name": "KELLY",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-03-29",
"last_updated": "2025-03-31",
"certification_date": "2025-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "207VX0000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Obstetrics",
"state": "WI",
"license": "65523",
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "FL",
"license": "ME160223",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100058166",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Vero Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 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.