DR. ROBERT DOUGLAS OLCOTT KENNEDY M.D. NPI 1457485948

NPI Information

  • NPI: 1457485948
  • Provider Name: DR. ROBERT DOUGLAS OLCOTT KENNEDY, M.D.
  • Classification: Internal Medicine - 207RC0001X
  • Specialization: Clinical Cardiac Electrophysiology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1200 SIXTH ST STE 200
    TRAVERSE CITY, MI
    ZIP 49684
  • Phone: (231) 935-5800

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NPI Details

DR. Robert Douglas Olcott Kennedy, M.D. is a clinical cardiac electrophysiology internal medicine in Traverse City, MI with 22 years of experience. The provider is a field of special interest within the subspecialty of cardiovascular disease, specialty of Internal Medicine, which involves intricate technical procedures to evaluate heart rhythms and determine appropriate treatment for them. DR. Robert Douglas Olcott Kennedy, M.D. NPI is 1457485948. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1200 SIXTH ST STE 200
TRAVERSE CITY, MI
ZIP 49684-369
Phone: (231) 935-5800
Fax: (231) 935-5799

The NPI 1457485948 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.

  • Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only (HCPCS:93010)
  • Evaluation of single, dual, multiple lead or leadless pacemaker system, remote up to 90 days (HCPCS:93294)
  • Evaluation of single, dual, or multiple lead implantable defibrillator system, remote up to 90 days (HCPCS:93295)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Programming of dual lead pacemaker system (HCPCS:93280)
  • Evaluation of implantable heart and blood vessel monitoring system, remote up to 30 days (HCPCS:93297)
  • Follow-up hospital inpatient care per day, typically 25 minutes (HCPCS:99232)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Evaluation of cardiac rhythm monitor system, remote up to 30 days (HCPCS:93298)
  • Evaluation of implantable heart and blood vessel monitoring system (HCPCS:93290)
  • Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report (HCPCS:93000)
  • Programming of dual lead pacemaker system (HCPCS:93280)
  • Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes (HCPCS:99152)
  • Programming of single lead pacemaker system (HCPCS:93279)
  • Programming of multiple lead implantable defibrillator system (HCPCS:93284)
  • External shock to heart to regulate heart beat (HCPCS:92960)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Programming of dual lead implantable defibrillator system (HCPCS:93283)
  • Initial hospital inpatient care per day, typically 70 minutes (HCPCS:99223)
  • Insertion of catheters and destruction of tissue to treat abnormal heart rhythm (HCPCS:93655)
  • Electrocardiogram (ecg) 2-day continuous with review by health care professional (HCPCS:93227)
  • Repair of left upper heart chamber with implant with review by radiologist (HCPCS:33340)
  • Heart rhythm review and interpretation of continous external ekg over 8-15 days (HCPCS:93248)
  • Programming of single lead implantable defibrillator system (HCPCS:93282)
  • Comprehensive electrophysiologic evaluation with catheter destruction of abnormality causing atrial fibrillation (uncoordinated contraction of upper chambers of heart) by pulmonary vein isolation (HCPCS:93656)
  • Electrocardiogram (ecg) up to 30 days continuous with review and report by health care professional (HCPCS:93228)
  • Insertion of pacemaker and upper and lower heart chamber electrode (HCPCS:33208)
  • Hospital discharge day management, more than 30 minutes (HCPCS:99239)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Insertion of heart rhythm monitor under skin (HCPCS:33285)
  • Pacemaker insertion or repair (HCPCS:NAN10)

The enumeration date for this NPI number is 3/15/2007 and was last updated on 8/10/2025.

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
1207R00000XInternal Medicine4301083661MICHIGANNo
2207RC0000XInternal MedicineCardiovascular Disease4301083661MICHIGANNo
3207RC0001XInternal MedicineClinical Cardiac Electrophysiology4301083661MICHIGANYes

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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