WILLIAM KENNEDY DOEMLAND (MD) – Hospitalist Physician, NPI 1396326443

WILLIAM KENNEDY DOEMLAND (MD) is a healthcare provider. based in Farmington, Connecticut. specializing in HOSPITALIST. They hold the professional credentials MD. They hold a License No. 077065 (CT). The NPI Number for WILLIAM KENNEDY DOEMLAND (MD) is 1396326443

Main info

Male
5 Years Of Experience
Accepts Medicare Assignment
Name
WILLIAM KENNEDY DOEMLAND (MD)
NPI
1396326443
Phone
(860) 679-4477
Address
263 FARMINGTON AVE
Enumeration Date
20 April 2021
Last Update Date
31 July 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2033016261
Graduation Year
2021 (5 years ago)
PAC ID
7214473586
Group Practice PAC ID
1254233836
Professional Enrollment ID
I20240723001480
Address ID
CT064604603MI300XXAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness75
Years active:5State licenses:1Digital endpointsOther names

770 HOSPITALIST in CT

Provider Addresses for WILLIAM KENNEDY DOEMLAND (MD)

  • 263 FARMINGTON AVE

    FARMINGTON, CT 060308021

    Phone: (860) 679-4477

    Fax: (860) 679-1025

    Type: Location

  • 555 Willard Ave

    Newington, CT 061112631

    Phone: (866) 808-7921

    Type: Location

  • 555 WILLARD AVE

    NEWINGTON, CT 061112631

    Phone: (866) 808-7921

    Type: Location

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: 2024-07-23

PECOS data refreshed: 2026-06-15

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
I20240723001480IHospitalistCTTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 06030)

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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: 1254233836View full group profile

Reviews

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Frequently asked questions

What is the 10-digit NPI for WILLIAM KENNEDY DOEMLAND (MD)?
WILLIAM KENNEDY DOEMLAND (MD) — NPI 1396326443 — is the standard way to identify this listing.
Is WILLIAM KENNEDY DOEMLAND (MD) listed as active for patients and plans?
The listing shows WILLIAM KENNEDY DOEMLAND (MD) as active in the NPI system.
What is WILLIAM KENNEDY DOEMLAND (MD)'s primary classification?
Hospitalist Physician is the headline specialty for WILLIAM KENNEDY DOEMLAND (MD) here. Clinical services aligned with this taxonomy classification.
Where is WILLIAM KENNEDY DOEMLAND (MD) based?
WILLIAM KENNEDY DOEMLAND (MD) is tied to Farmington, Connecticut in the data we show; additional addresses may exist on the full record.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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