TIMOTHY RAYMOND KENNEDY (M.D.) – Anatomic Pathology & Clinical Pathology Physician, NPI 1356311955

TIMOTHY RAYMOND KENNEDY (M.D.) is a healthcare provider. based in Royal oak, Michigan. specializing in PATHOLOGY. They hold the professional credentials M.D.. They hold a License No. 4301059256 (MI). The NPI Number for TIMOTHY RAYMOND KENNEDY (M.D.) is 1356311955

Main info

Male
38 Years Of Experience
Accepts Medicare Assignment
Name
TIMOTHY RAYMOND KENNEDY (M.D.)
NPI
1356311955
Phone
(248) 898-9060
Address
3601 W 13 MILE RD
Enumeration Date
25 January 2006
Last Update Date
17 January 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3137453000
Graduation Year
1988 (38 years ago)
PAC ID
4880767300
Group Practice PAC ID
8628087681
Professional Enrollment ID
I20180913003416
Address ID
MI482012153DE4201XSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

573 PATHOLOGY in MI

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Provider Addresses for TIMOTHY RAYMOND KENNEDY (M.D.)

  • Beaumont Hospital - Royal Oak, 3601, West 13 Mile Road, Royal Oak, Oakland County, Michigan, 48073, United States

    ROYAL OAK, MI 480736712

    Phone: (248) 898-9060

    Fax: (248) 898-9054

    Type: Location

  • 26901 BEAUMONT BLVD SUITE 3D

    SOUTHFIELD, MI 480333849

    Phone: (947) 522-1860

    Fax: (947) 522-0307

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $235.

Total Amount is formed as General ($235) + Research ($0) + Ownership ($0) = $235.

Last reported payment date: 2023-11-17 • Largest payer in this snapshot: Helena Laboratories Corporation ($219).

Total Amount

$235

General + Research + Ownership

Payments

2

Total payment records

General Amount

$235

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-11-17

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: 2018-09-13

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
I20180913003416IPathologyMITBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
84165Protein measurement, serum689378$0
86334Immunologic analysis technique on serum (immunofixation)637342$0
86335Immunologic analysis technique on body fluid, other fluids with concentration159117$0
84166Protein measurement, body fluid157116$0
View full utilization report →

Insurance plans in this area (ZIP 48073)

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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: 8628087681View full group profile
NameSpecialtyState
-MI
Nurse PractitionerMI
Cardiovascular Disease (Cardiology)MI
H O S P I T A L I S TMI
-MI
Pulmonary Disease, Internal Medicine, Critical Care (Intensivists)MI
Internal Medicine, Infectious DiseaseMI
O B S T E T R I C S/ G Y N E C O L O G YMI
Pulmonary Disease, Critical Care (Intensivists)MI
O P H T H A L M O L O G YPA

Reviews

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Frequently asked questions

What is the standard ID for TIMOTHY RAYMOND KENNEDY (M.D.) in the U.S.?
In the U.S., TIMOTHY RAYMOND KENNEDY (M.D.) is identified by NPI 1356311955.
Quick check: is TIMOTHY RAYMOND KENNEDY (M.D.) active?
Public NPPES data shows TIMOTHY RAYMOND KENNEDY (M.D.) with an active NPI status right now.
Which specialty label fits TIMOTHY RAYMOND KENNEDY (M.D.)?
NPPES ties TIMOTHY RAYMOND KENNEDY (M.D.) to Anatomic Pathology & Clinical Pathology Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
What city is tied to TIMOTHY RAYMOND KENNEDY (M.D.)?
The directory associates TIMOTHY RAYMOND KENNEDY (M.D.) with Royal Oak, Michigan. Check all listed addresses for suites or satellite offices.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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