ELENA KENNEDY (MD) – Pulmonary Disease Physician, NPI 1104280833

ELENA KENNEDY (MD) is a healthcare provider. based in Boston, Massachusetts. specializing in INTERNAL MEDICINE, CRITICAL CARE (INTENSIVISTS), PULMONARY DISEASE, SLEEP MEDICINE. They hold the professional credentials MD. They hold a License No. A176243 (CA). The NPI Number for ELENA KENNEDY (MD) is 1104280833

Main info

Female
10 Years Of Experience
Accepts Medicare Assignment
Name
ELENA KENNEDY (MD)
NPI
1104280833
Phone
(617) 636-5000
Address
800 WASHINGTON ST
Enumeration Date
8 April 2016
Last Update Date
16 August 2023

Doctor Profile

Medical School Name
SOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
5107521000
Graduation Year
2016 (10 years ago)
PAC ID
1658669973
Group Practice PAC ID
8921910225
Professional Enrollment ID
I20231219002553
Address ID
CA946115730OA3600XBROA200
Telehealth
Yes

Contacts

SOAP Endpoint
https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness85
Years active:10State licenses:1Other namesUpdated within 12 months

7,722 INTERNAL MEDICINE in MA

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Provider Addresses for ELENA KENNEDY (MD)

  • Tufts Medical Center, 800, Washington Street, Chinatown, Financial District, Boston, Suffolk County, Massachusetts, 02111, United States

    BOSTON, MA 021111552

    Phone: (617) 636-5000

    Type: Mailing

  • 3600 BROADWAY

    OAKLAND, CA 946115730

    Phone: (510) 752-1000

    Type: Mailing

  • 505 PARNASSUS AVE

    SAN FRANCISCO, CA 941432204

    Phone: (415) 476-1000

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 8 Open Payments records for all available years, with a total value of $1,109.

Total Amount is formed as General ($1,109) + Research ($0) + Ownership ($0) = $1,109.

Last reported payment date: 2023-06-13 • Largest payer in this snapshot: Inspire Medical Systems, Inc. ($1,109).

Total Amount

$1,109

General + Research + Ownership

Payments

8

Total payment records

General Amount

$1,109

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-06-13

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: 2023-12-19

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
I20231219002553IInternal 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.

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

Insurance plans in this area (ZIP 02111)

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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: 8921910225View full group profile
NameSpecialtyState
Emergency MedicineDC
Colorectal Surgery (Proctology), General SurgeryLA
-CA
N E U R O S U R G E R YMA
Internal MedicineCA
Nurse PractitionerCA
Internal MedicineCA
Emergency MedicineCA
-MA
Emergency MedicineCA

Reviews

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Frequently asked questions

Does ELENA KENNEDY (MD) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — ELENA KENNEDY (MD) uses 1104280833.
Can I rely on ELENA KENNEDY (MD) being an active provider?
As of the registry snapshot, ELENA KENNEDY (MD) is marked active.
What taxonomy line describes ELENA KENNEDY (MD)?
For research purposes, treat ELENA KENNEDY (MD) as Pulmonary Disease Physician in this dataset. Clinical services aligned with this taxonomy classification.
Where is ELENA KENNEDY (MD) based?
ELENA KENNEDY (MD) is tied to Boston, Massachusetts in the data we show; additional addresses may exist on the full record.
Is the information about ELENA KENNEDY (MD) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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