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SUSAN LUCILLE KENNEDY M.D. NPI 1679512313


NPI Information

NPI: 1679512313
Provider Name: SUSAN LUCILLE KENNEDY, M.D.
Classification: Radiology - 2085R0202X
Entity Type: Individual

Specialization: Diagnostic Radiology

PECOS Registration: Yes

Address:
3949 BROWNING PL
RALEIGH, NC
ZIP 27609
Phone: (919) 787-8221
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Susan Lucille Kennedy, M.D. is a diagnostic radiology radiology in Raleigh, NC with 34 years of experience. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. Susan Lucille Kennedy, M.D. NPI is 1679512313. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: JEFFERSON MEDICAL COLLEGE OF THOMAS JEFFERSON UNIVERSITY
Graduation Year:1990

The provider's business location address is:

3949 BROWNING PL
RALEIGH, NC
ZIP 27609-504
Phone: (919) 787-8221
Fax: (919) 789-4461

The NPI 1679512313 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.

  • X-ray of chest, 1 view (HCPCS:71045)
  • Mammography of both breasts (HCPCS:77067)
  • Ct scan head or brain (HCPCS:70450)
  • X-ray of chest, 2 views (HCPCS:71046)
  • Ct scan of abdomen and pelvis with contrast (HCPCS:74177)
  • Ct scan of abdomen and pelvis (HCPCS:74176)

The enumeration date for this NPI number is 6/6/2006 and was last updated on 7/8/2007.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12085R0202XRadiologyDiagnostic Radiology96-0291NORTH CAROLINAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
12223816MEDICARE ID-TYPE UNSPECIFIEDNORTH CAROLINA
264590OTHERNORTH CAROLINAMEDCOST
32223816CMEDICARE ID-TYPE UNSPECIFIEDNORTH CAROLINA
448598OTHERNORTH CAROLINABLUECROSS BLUESHIELD
57228732OTHERVIRGINIAVIRGINIA MEDICAID
664587OTHERNORTH CAROLINAMEDCOST
764580OTHERNORTH CAROLINAMEDCOST
88948598MEDICAIDNORTH CAROLINA
9G09478MEDICARE UPIN
1016-54610OTHERNORTH CAROLINAUNITED HEALTHCARE
1116-54611OTHERNORTH CAROLINAUNITED HEALTHCARE
1216-54612OTHERNORTH CAROLINAUNITED HEALTHCARE
132223816BMEDICARE ID-TYPE UNSPECIFIEDNORTH CAROLINA

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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.