Colleen I. Kennedy, MD, PA
NPI 1033448295ActiveOrganization· Surgery· Rockwall, TX
Surgery in Rockwall, Texas, registered in NPPES in December 2009. The authorized official on file is Colleen Kennedy, MD, President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1033448295 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 17, 2009 |
| Last updated in NPPES | Aug 23, 2024 |
| Certified by provider | Aug 23, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Surgery Primary | 208600000X | M7325 | TX |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (TX) |
|---|
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