DR. EILEEN C KENNY (MD) – Diagnostic Radiology Physician, NPI 1922081637

DR. EILEEN C KENNY (MD) is a healthcare provider. based in St augustine, Florida. specializing in DIAGNOSTIC RADIOLOGY. They hold the professional credentials MD. They hold a License No. 056187 (GA). The NPI Number for DR. EILEEN C KENNY (MD) is 1922081637

Main info

Female
36 Years Of Experience
Accepts Medicare Assignment
Name
DR. EILEEN C KENNY (MD)
NPI
1922081637
Phone
Not provided
Address
4312 OCEANHOMES CT
Enumeration Date
28 November 2005
Last Update Date
30 April 2024

Doctor Profile

Medical School Name
EASTERN VIRGINIA MEDICAL SCHOOL
Secondary Phone
2769888700
Graduation Year
1990 (36 years ago)
PAC ID
1557394129
Group Practice PAC ID
4183604259
Professional Enrollment ID
I20090424000331
Address ID
VA246515386TA388XXAVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience87
Completeness75
Years active:20State licenses:3Digital endpointsOther names

1,529 DIAGNOSTIC RADIOLOGY in VA

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Provider Addresses for DR. EILEEN C KENNY (MD)

  • 4312 OCEANHOMES CT

    ST AUGUSTINE, FL 320807482

    Phone:

    Type: Mailing

  • 213 S JEFFERSON ST STE 1006

    ROANOKE, VA 240111713

    Phone: (540) 224-5705

    Type: Mailing

  • 1906, Belleview Avenue Southeast, Bellview Terrace, Roanoke, Roanoke (city), Virginia, 24014, United States

    ROANOKE, VA 240141838

    Phone: (540) 981-7037

    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: 2009-04-24

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
I20090424000331IDiagnostic RadiologyVATBD

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 32080)

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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: 4183604259View full group profile
NameSpecialtyState
-VA
Diagnostic RadiologyHI
Diagnostic RadiologyVA
Infectious DiseaseVA
Diagnostic RadiologyMS
Diagnostic RadiologyOH
Diagnostic RadiologyVA
Diagnostic RadiologyNY
Diagnostic RadiologyID
-VA

Reviews

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Frequently asked questions

Where can patients find DR. EILEEN C KENNY (MD)'s NPI?
You can confirm DR. EILEEN C KENNY (MD) with NPI 1922081637; it appears in the national provider directory.
Is DR. EILEEN C KENNY (MD)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What does DR. EILEEN C KENNY (MD) treat or focus on?
Patients typically see DR. EILEEN C KENNY (MD) under the specialty Diagnostic Radiology Physician. Clinical services aligned with this taxonomy classification.
Does DR. EILEEN C KENNY (MD) practice in Florida?
You will see St Augustine, Florida on file for DR. EILEEN C KENNY (MD) alongside any extra practice locations.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.