DANA EDWARD KENNEDY (M.D.) – Emergency Medicine Physician, NPI 1801183173

DANA EDWARD KENNEDY (M.D.) is a healthcare provider. based in Rancho palos verdes, California. specializing in Emergency Medicine Physician. They hold the professional credentials M.D.. They hold a License No. A128688 (CA). The NPI Number for DANA EDWARD KENNEDY (M.D.) is 1801183173

Main info

Male
Sole Proprietor
16 Years Of Experience
Accepts Medicare Assignment
Name
DANA EDWARD KENNEDY (M.D.)
NPI
1801183173
Phone
(805) 689-6260
Address
26924 GRAYSLAKE RD
Enumeration Date
7 July 2011
Last Update Date
17 March 2018

Doctor Profile

Medical School Name
ALBERT EINSTEIN COLLEGE OF MEDICINE OF YESHIVA UNIVERSITY
Secondary Phone
3103259110
Graduation Year
2010 (16 years ago)
PAC ID
6305068123
Group Practice PAC ID
5597998120
Professional Enrollment ID
I20141112000147
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience47
Completeness75
Years active:14State licenses:1Digital endpointsOther names

Provider Addresses for DANA EDWARD KENNEDY (M.D.)

  • 26924 GRAYSLAKE RD

    RANCHO PALOS VERDES, CA 902752107

    Phone: (805) 689-6260

    Type: Mailing

  • 3330 LOMITA BLVD

    TORRANCE, CA 905055002

    Phone: (310) 784-4997

    Type: Location

  • 1400 Pelham Pkwy S

    Bronx, NY 104611138

    Phone: (718) 918-5820

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $81.

Total Amount is formed as General ($81) + Research ($0) + Ownership ($0) = $81.

Last reported payment date: 2024-10-11 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($56).

Total Amount

$81

General + Research + Ownership

Payments

3

Total payment records

General Amount

$81

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-11

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2014-11-12

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
I20141112000147IEmergency MedicineCATBD

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 making233229$0
99291Critical care, first 30-74 minutes141141$0
93042Electrocardiogram (ecg) 1 to 3 leads with review by physician only104104$0
99284Emergency department visit with moderate level of medical decision making9488$0
View full utilization report →

Insurance plans in this area (ZIP 90275)

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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: 5597998120View full group profile
NameSpecialtyState
-CA
Emergency MedicineCA
-CA
Emergency MedicineCO
Emergency MedicineCA
Emergency MedicinePA
-CA
Emergency MedicineCA
Emergency MedicineCA
Emergency MedicineCA

Reviews

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Frequently asked questions

What is the registry number for DANA EDWARD KENNEDY (M.D.)?
The registry entry for DANA EDWARD KENNEDY (M.D.) shows NPI 1801183173.
Does the public listing show DANA EDWARD KENNEDY (M.D.) as active?
DANA EDWARD KENNEDY (M.D.)'s NPI record reflects an active status in NPPES.
Which specialty label fits DANA EDWARD KENNEDY (M.D.)?
NPPES ties DANA EDWARD KENNEDY (M.D.) to Emergency Medicine Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
What geographic area is tied to DANA EDWARD KENNEDY (M.D.)?
DANA EDWARD KENNEDY (M.D.) is associated with Rancho Palos Verdes, 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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