Jacob H Kennedy, MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

01056432A Issued in IN

Practice address

600 Mary St
Evansville, IN 47747-0001

Phone

(812) 450-3405

Fax

(812) 450-3099

NPI assigned

Dec 29, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Enrolled in KS

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

Specialty

Emergency Medicine

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Emergency Services of Kansas PAGroup PAC ID 2062683808, 17 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• University of Kansas Health System - St Francis Campus Hospital, Topeka, KS, CCN 170016

Merit-based Incentive Payment System (MIPS)

Final score

87.17 of 100Reported as group

Quality

82.57

Promoting interoperability

100

Improvement activities

40

Cost

71.91

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jkennedy1092134@ahs.direct-ci.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.

• Emergency Services of Kansas, P.a.

  • Emergency Medicine Physician
  • Pleasanton, CA
  • NPI 1023397098

  KS

  Medicare reassignment Care Compare group NPD
• Deaconess Hospital, Inc

  dba Deaconess Care Group

  • Hospitalist Physician
  • Evansville, IN
  • NPI 1427097443
  NPD
• Emergency Medicine Physicians of Vanderburgh County, PC

  • Emergency Medicine Physician
  • Evansville, IN
  • NPI 1063451946
  NPD (past)
• Emergency Professionals of Indiana, P.C.

  • Emergency Medicine Physician
  • Fort Wayne, IN
  • NPI 1013951219
  NPD (past)
• St. Mary's Health Inc

  dba St. Vincent Evansville Urgent Care-Westside

  • Urgent Care Clinic/Center
  • Evansville, IN
  • NPI 1336142397
  NPD (past)
• Acs Primary Care Physicians-Midwest

  • Emergency Medicine Physician
  • Lexington, KY
  • NPI 1609811413
  NPD (past)
• Emergency Care Specialists PC

  • Emergency Medicine Physician
  • Grand Rapids, MI
  • NPI 1093766958
  NPD (past)
• Methodist Health, Inc.

  dba Deaconess Henderson Pain Services

  • Pain Clinic/Center
  • Henderson, KY
  • NPI 1780249060
  NPD (past)

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

• Topeka Hospital, LLC

  dba The University of Kansas Health System, St. Francis Campus

  • General Acute Care Hospital
  • Topeka, KS
  • NPI 1912423260
  Care Compare affiliation

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

{
    "created_epoch": "1135814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733961600000",
    "number": "1992782122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3407",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477333407",
            "telephone_number": "812-450-6815",
            "fax_number": "812-450-6822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 MARY ST",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477470001",
            "telephone_number": "812-450-3405",
            "fax_number": "812-450-3099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNEDY",
        "first_name": "JACOB",
        "middle_name": "H",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-29",
        "last_updated": "2024-12-12",
        "certification_date": "2024-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "KS",
            "license": "04-49394",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IN",
            "license": "01056432A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS - DEACONESS GATEWAY",
            "identifier": "000000502888",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64130222",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200423240",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS - DEACONESS MARY ST",
            "identifier": "000000502241",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00397501",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Quinn Kempf, DC
• Ashleigh Kendall
• Sasha Kendall, LCSW, LCAC
• De'Yonna C Kendrick, NP
• Brooke Allison Kennedy, PT, DPT
• Kenneth E Yagodich, MD, PC
• Kenneth J. Helm
• Jeri L Kenning, RN
• Kent R. Burress, DPM, LLC (Burress & Serletic Podiatry)
• Brandi Keown, REGISTERED DIETITIAN

• Emergency Medicine Physician in Evansville, IN
• Providers in Evansville, IN by specialty
• Emergency Medicine Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2024; 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.