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Active NPI 1215996459 Individual Practitioner Male Practitioner

Dr. Michael M Kennelly , MD

Surgery • Burien, WA

Professional Overview & Biography Verified Profile Summary

Dr. Michael Kennelly, MD is a registered healthcare professional specializing in Surgery in Burien, WA. Practice services are available at 16233 SYLVESTER RD SW STE 110 under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, follow-up hospital inpatient care per day. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

16233 Sylvester Rd Sw Ste 110

Burien, WA 981663044

Telephone 2069018980

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Burien, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 22.0 Yrs
State Avg: 22.8 Yrs
Regional Practice Density
5 Specialists

Practicing in Burien, WA (818 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
47.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2018)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes
34 27 $141.38 $76.70
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
14 14 $322.71 $172.72
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
12 11 $212.25 $113.01
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
11 11 $212.73 $103.13

Medical Specialties & State Licenses

CMS Verified: 2020-12-04
Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License WA MD00021678

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
1005224 (WA)

Secondary Practice Locations

16233 Sylvester Rd Sw Ste 110

Burien, WA 981663044

Phone: 2069018980

16122 8th Ave Sw, Suite D-1

Burien, WA 981662967

Phone: 2062441680

Practice Associates & Co-Workers

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

3 Associated Practitioners
Tuyet Nguyen

Interpreter

NPI 1174342851
NPI 1417256132

Doctor of Medicine (M.D.)

NPI 1962628198

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location December 04, 2020

Registered at 16233 SYLVESTER RD SW STE 110, BURIEN, WA 981663044 (Tel: 2069018980)

📍
Updated Business Mailing Address December 04, 2020

Registered at 16233 SYLVESTER RD SW STE 110, BURIEN, WA 981663044 (Tel: 2069018980)

NPI Profile Active October 11, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location October 11, 2011

Registered at 16122 8TH AVE SW, SUITE D-1, BURIEN, WA 981662967 (Tel: 2062441680)

📍
Updated Business Mailing Address October 11, 2011

Registered at 805 MADISON ST, SUITE 901, SEATTLE, WA 981041172 (Tel: 2062648100)

👤
Provider Name / Credentials Updated October 11, 2011

Recorded as MICHAEL KENNELLY, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 11, 2011

Surgery (License #MD00021678 in WA)

🟢
Initial NPI Registration & Enumeration March 17, 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: 1215996459
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 17, 2006
Last Update: December 04, 2020
Sole Proprietor: No

Mailing Address

16233 Sylvester Rd Sw Ste 110

Burien, WA 981663044

Phone: 2069018980

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.