KEVIN X MCKENNAN MD NPI 1356344022

NPI Information

  • NPI: 1356344022
  • Provider Name: KEVIN X MCKENNAN, MD
  • Classification: Otolaryngology - 207YX0901X
  • Specialization: Otology & Neurotology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1111 EXPOSITION BLVD BLDG 700
    SACRAMENTO, CA
    ZIP 95815
  • Phone: (916) 736-3408

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NPI Details

Kevin X Mckennan, MD is an otology and neurotology otolaryngology in Sacramento, CA with 48 years of experience. The provider is an otolaryngologist who treats diseases of the ear and temporal bone, including disorders of hearing and balance. The additional training in otology and neurotology emphasizes the study of embryology, anatomy, physiology, epidemiology, pathophysiology, pathology, genetics, immunology, microbiology and the etiology of diseases of the ear and temporal bone. Kevin X Mckennan, MD NPI is 1356344022. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: ALBANY MEDICAL COLLEGE OF UNION UNIVERSITY
Graduation Year:1978

The provider's business location address is:

1111 EXPOSITION BLVD BLDG 700
SACRAMENTO, CA
ZIP 95815-314
Phone: (916) 736-3408
Fax: (916) 233-4171

The NPI 1356344022 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Exam of ear using a microscope (HCPCS:92504)
  • Comprehensive hearing and speech recognition test (HCPCS:92557)
  • Test to assess middle ear function (HCPCS:92567)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Ct scan of cranial cavity without contrast (HCPCS:70480)
  • New patient office or other outpatient visit, 60-74 minutes (HCPCS:99205)
  • Analysis and reprogramming of inner ear implant (7 years or older) (HCPCS:92604)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Established patient office or other outpatient visit, 40-54 minutes (HCPCS:99215)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Complex removal of skin debris and drainage of mastoid cavity (HCPCS:69222)
  • Creation of skin, fat and muscle graft (HCPCS:15770)
  • Evaluation of hearing function related to surgically implanted hearing device, first hour (HCPCS:92626)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Test for abnormal eye movement using 3 positions with recording (HCPCS:92542)
  • Test for abnormal eye movement using a moving target that moves back and forth with recording (HCPCS:92545)
  • Test for abnormal eye movement with recording (HCPCS:92541)
  • Test to assess balance during warm and cool irrigation in both ears (HCPCS:92537)
  • Reconstruction of ear canal (HCPCS:69310)
  • Simple removal of skin debris and drainage of mastoid cavity (HCPCS:69220)
  • Test for eardrum and muscle function (HCPCS:92550)
  • Removal of impacted cerumen (one or both ears) by physician on same date of service as audiologic function testing (HCPCS:G0268)
  • Insertion of cochlear device (HCPCS:69930)
  • Full thickness skin graft to nose, ears, eyelids, or lips, 20.0 sq cm or less (HCPCS:15260)
  • Repair of eardrum and ear canal with opening to ear bones (HCPCS:69631)
  • Repair of eardrum and ear canal with removal of middle ear bone (HCPCS:69643)
  • Melanoma (skin cancer) excision (HCPCS:NAN03)

The enumeration date for this NPI number is 5/24/2005 and was last updated on 10/4/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207YX0901XOtolaryngologyOtology & NeurotologyG40176CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1040003543OTHERCALIFORNIARR MEDICARE PIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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