PABLO ANDRES KENNEDY (MD) – Hospitalist Physician, NPI 1114508777

PABLO ANDRES KENNEDY (MD) is a healthcare provider. based in Topeka, Kansas. specializing in HOSPITALIST. They hold the professional credentials MD. They hold a License No. 04-50055 (KS). The NPI Number for PABLO ANDRES KENNEDY (MD) is 1114508777

Main info

Male
5 Years Of Experience
Accepts Medicare Assignment
Name
PABLO ANDRES KENNEDY (MD)
NPI
1114508777
Phone
(785) 354-6000
Address
1500 SW 10th Ave
Enumeration Date
15 April 2021
Last Update Date
11 September 2025

Doctor Profile

Medical School Name
UNIVERSITY OF KANSAS SCHOOL OF MED (KC/WICH/SAL)
Secondary Phone
-
Graduation Year
2021 (5 years ago)
PAC ID
6406257005
Group Practice PAC ID
9032587472
Professional Enrollment ID
I20240927001069
Address ID
KS666041301TO1500XAVEX415
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience39
Completeness85
Years active:5State licenses:1Digital endpointsOther names

366 HOSPITALIST in KS

Provider Addresses for PABLO ANDRES KENNEDY (MD)

  • 1500 SW 10th Ave

    Topeka, KS 666041301

    Phone: (785) 354-6000

    Type: Location

  • 1201 S Grand Blvd

    Saint Louis, MO 631041016

    Phone: (314) 257-8000

    Type: Location

  • 1201 S GRAND BLVD

    SAINT LOUIS, MO 631041016

    Phone: (314) 257-8000

    Type: Location

  • 4717 SW WANAMAKER RD

    TOPEKA, KS 666101333

    Phone: (785) 438-9023

    Type: Mailing

  • 1102 SAINT MARYS RD

    JUNCTION CITY, KS 664414139

    Phone: (785) 238-0325

    Fax: (785) 576-1113

    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: 2024-09-27

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
I20240927001069IHospitalistKSTBD

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 66604)

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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: 9032587472View full group profile
NameSpecialtyState
Emergency MedicineKS
Internal MedicineKS
Emergency Medicine, Family PracticeKS
Nurse PractitionerKS
Cardiovascular Disease (Cardiology)KS
General SurgeryWV
O B S T E T R I C S/ G Y N E C O L O G YKS
Family PracticeKS
Physician AssistantKS
O B S T E T R I C S/ G Y N E C O L O G YKS

Reviews

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Frequently asked questions

Where can patients find PABLO ANDRES KENNEDY (MD)'s NPI?
You can confirm PABLO ANDRES KENNEDY (MD) with NPI 1114508777; it appears in the national provider directory.
Does this profile mean PABLO ANDRES KENNEDY (MD) is currently active?
Yes — PABLO ANDRES KENNEDY (MD) appears active in the national provider directory.
Can you summarize PABLO ANDRES KENNEDY (MD)'s specialty in plain language?
Clinically, the directory lists PABLO ANDRES KENNEDY (MD) with Hospitalist Physician. Clinical services aligned with this taxonomy classification.
Where is PABLO ANDRES KENNEDY (MD)'s primary listing?
We display Topeka, Kansas because that is what the record indicates for PABLO ANDRES KENNEDY (MD).
Is PABLO ANDRES KENNEDY (MD) a real provider?
This page reflects official NPPES data for NPI 1114508777. Always confirm identity and privileges with the practice and licensing boards.

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