Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1902826274 Individual Practitioner Male Practitioner

Dr. Eugene P. Kennedy , MD

Surgery • Philadelphia, PA

Professional Overview & Biography Verified Profile Summary

Dr. Eugene Kennedy, MD is a registered healthcare professional specializing in Surgery in Philadelphia, PA. Practice services are available at 1100 WALNUT ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1100 Walnut St
Mob, 5th Floor

Philadelphia, PA 191075563

Telephone 2159556750
Fax 2159238222
Associated Practice Facility / Clinic
🏢 Daniels Medical Associates Facility NPI 1861460339

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Philadelphia, PA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 20.6 Yrs
State Avg: 26.1 Yrs
Regional Practice Density
455 Specialists

Practicing in Philadelphia, PA (1976 Statewide)

Telehealth Adoption Rate
10.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License PA MD428122

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
0093815 (NJ)
Medicaid State Provider ID
101509252 (PA)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
NPI 1003104274

Doctor of Medicine (M.D.)

Dr. Tyler Grenda , MD

Thoracic Surgery (Cardiothoracic Vascular Surgery)

NPI 1023337821

Doctor of Medicine (M.D.)

NPI 1043408206

Doctor of Medicine (M.D.)

NPI 1053463885

Doctor of Medicine (M.D.)

Dr. David Paik , MD

Surgery - Surgical Critical Care

NPI 1053469544

Doctor of Medicine (M.D.)

NPI 1073533394

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active May 31, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location May 31, 2011

Registered at 1100 WALNUT ST, MOB, 5TH FLOOR, PHILADELPHIA, PA 191075563 (Tel: 2159556750)

📍
Updated Business Mailing Address May 31, 2011

Registered at 615 CHESTNUT ST, 14TH FLOOR, CENTRAL ENROLLMENT, PHILADELPHIA, PA 191064404

👤
Provider Name / Credentials Updated May 31, 2011

Recorded as EUGENE KENNEDY, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 31, 2011

Surgery (License #MD428122 in PA)

🟢
Initial NPI Registration & Enumeration July 20, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1902826274
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 20, 2006
Last Update: May 31, 2011
Sole Proprietor: No

Mailing Address

615 Chestnut St, 14th Floor, Central Enrollment

Philadelphia, PA 191064404

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.