DR. RAY C KENNEDY (MD) – Emergency Medicine Physician, NPI 1164427357
Emergency Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,717 FAMILY PRACTICE in KY
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Provider Addresses for DR. RAY C KENNEDY (MD)
8, I 64, Clifton, Louisville, Jefferson County, Kentucky, 40206, United States
LOUISVILLE, KY 402010008
Phone: (800) 476-8646
Fax: (919) 382-3210
Type: Mailing
Jewish Hospital Shelbyville, 727, Hospital Drive, Shelbyville, Shelby County, Kentucky, 40065, United States
SHELBYVILLE, KY 400651660
Phone: (502) 647-4347
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: 2005-05-31
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2023-09-30 (982 days ago).
Enrollment records
2
Earliest due date
2023-09-30
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20040427000067 | I | Emergency Medicine | KY | 2023-09-30 |
| I20050531000995 | I | Family Practice | IN | TBD |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99285 | Emergency department visit with high level of medical decision making | 85 | 83 | $0 |
| 99284 | Emergency department visit with moderate level of medical decision making | 40 | 40 | $0 |
| 99291 | Critical care, first 30-74 minutes | 14 | 14 | $0 |
Insurance plans in this area (ZIP 40201)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Emergency Medicine | NY | |
| Emergency Medicine | IN | |
| Emergency Medicine | WA | |
| Emergency Medicine | MO | |
| Emergency Medicine | MI | |
| Emergency Medicine | IN | |
| Emergency Medicine | OH | |
| Emergency Medicine | WI | |
| Emergency Medicine | FL | |
| Emergency Medicine | IN |
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