DR. KENNETH J CODY (MD) – Emergency Medicine Physician, NPI 1083765408

DR. KENNETH J CODY (MD) is a healthcare provider. based in Oakland, California. specializing in EMERGENCY MEDICINE. They hold the professional credentials MD. They hold a License No. 226122 (NY). The NPI Number for DR. KENNETH J CODY (MD) is 1083765408

Main info

Male
28 Years Of Experience
Accepts Medicare Assignment
Name
DR. KENNETH J CODY (MD)
NPI
1083765408
Phone
(510) 752-1000
Address
275 W MACARTHUR
Enumeration Date
13 January 2007
Last Update Date
26 September 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8556919890
Graduation Year
1998 (28 years ago)
PAC ID
1052477510
Group Practice PAC ID
9335135607
Professional Enrollment ID
I20250203002129
Address ID
NJ076523619PA4XXXXPLZX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience80
Completeness75
Years active:19State licenses:3Digital endpointsOther names

5,791 EMERGENCY MEDICINE in CA

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Provider Addresses for DR. KENNETH J CODY (MD)

  • MacArthur, MacArthur BART Plaza, Mosswood, Oakland, Alameda County, California, 94609, United States

    OAKLAND, CA 946115641

    Phone: (510) 752-1000

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2025-02-03

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

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
I20121029000760IEmergency MedicineCATBD
I20210204001236IEmergency MedicineCTTBD
I20250203002129IEmergency MedicineNJTBD

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
99285Emergency department visit with high level of medical decision making10499$0
99284Emergency department visit with moderate level of medical decision making5452$0
99291Critical care, first 30-74 minutes1717$0
99283Emergency department visit with low level of medical decision making1515$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes1313$0
View full utilization report →

Insurance plans in this area (ZIP 94611)

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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: 9335135607View full group profile
NameSpecialtyState
-NJ
Emergency MedicineMI
Emergency MedicineNJ
Emergency MedicineCT
Emergency MedicineNY
Emergency MedicineNY
-NJ
Emergency MedicineNY
-NJ
Emergency MedicineMI

Reviews

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Frequently asked questions

What identifier follows DR. KENNETH J CODY (MD) across health systems?
The NPI 1083765408 uniquely identifies DR. KENNETH J CODY (MD) in U.S. healthcare data.
Is DR. KENNETH J CODY (MD) currently accepting referrals based on NPI status?
Registry metadata lists DR. KENNETH J CODY (MD) as active.
Which specialty label fits DR. KENNETH J CODY (MD)?
NPPES ties DR. KENNETH J CODY (MD) to Emergency Medicine Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
What geographic area is tied to DR. KENNETH J CODY (MD)?
DR. KENNETH J CODY (MD) is associated with Oakland, California in the same public data insurers reference.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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