MR. KENNY L. DODD (CRNA) – Certified Registered Nurse Anesthetist, NPI 1154358554

MR. KENNY L. DODD (CRNA) is a healthcare provider. based in Montgomery, Alabama. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. 1-058248 (AL). The NPI Number for MR. KENNY L. DODD (CRNA) is 1154358554

Main info

Male
31 Years Of Experience
Accepts Medicare Assignment
Name
MR. KENNY L. DODD (CRNA)
NPI
1154358554
Phone
(334) 279-1450
Address
PO BOX 235019
Enumeration Date
28 June 2006
Last Update Date
17 June 2010

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2519901109
Graduation Year
1995 (31 years ago)
PAC ID
4385696509
Group Practice PAC ID
9830089978
Professional Enrollment ID
I20050216000475
Address ID
AL365321812FA750XXAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,625 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in AL

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Provider Addresses for MR. KENNY L. DODD (CRNA)

  • Box Turtle, Grogan's Mill, The Woodlands, Montgomery County, Texas, United States

    MONTGOMERY, AL 361235019

    Phone: (334) 279-1450

    Fax: (334) 395-4110

    Type: Mailing

  • Jackson Hospital, 1725, Pine Street, Oak Park, Montgomery, Montgomery County, Alabama, 36106, United States

    MONTGOMERY, AL 361061109

    Phone: (334) 279-1450

    Fax: (334) 395-4110

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 8 Open Payments records for all available years, with a total value of $147.

Total Amount is formed as General ($147) + Research ($0) + Ownership ($0) = $147.

Last reported payment date: 2024-11-10 • Largest payer in this snapshot: Merck Sharp & Dohme LLC ($81).

Total Amount

$147

General + Research + Ownership

Payments

8

Total payment records

General Amount

$147

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-10

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2005-02-16

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20050216000475ICertified Registered Nurse Anesthetist (Crna)ALTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
00811Anesthesia for other procedure on large bowel using an endoscope2525$0
00731Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope1515$0
View full utilization report →

Insurance plans in this area (ZIP 36123)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9830089978View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)AL
Certified Registered Nurse Anesthetist (Crna)AL
Certified Registered Nurse Anesthetist (Crna)AL
Certified Registered Nurse Anesthetist (Crna)AL
A N E S T H E S I O L O G YAL
Certified Registered Nurse Anesthetist (Crna)TX
Certified Registered Nurse Anesthetist (Crna)AL
Certified Registered Nurse Anesthetist (Crna)FL
A N E S T H E S I O L O G YAL
Certified Registered Nurse Anesthetist (Crna)AL

Reviews

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Frequently asked questions

How do I look up MR. KENNY L. DODD (CRNA) by NPI?
Use NPI 1154358554 when you need to reference MR. KENNY L. DODD (CRNA) in forms, claims, or directories.
Is MR. KENNY L. DODD (CRNA)'s NPI currently valid?
The extract we use shows MR. KENNY L. DODD (CRNA) as active.
Can you summarize MR. KENNY L. DODD (CRNA)'s specialty in plain language?
Clinically, the directory lists MR. KENNY L. DODD (CRNA) with Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
Where does public data place MR. KENNY L. DODD (CRNA)?
The snapshot lists Montgomery, Alabama for MR. KENNY L. DODD (CRNA); download NPPES for the complete set.
Is MR. KENNY L. DODD (CRNA) a real provider?
This page reflects official NPPES data for NPI 1154358554. Always confirm identity and privileges with the practice and licensing boards.

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