JOHN PETER KENNEDY (MD) – Obstetrics & Gynecology Physician, NPI 1740273010
Obstetrics & Gynecology Physician
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Profile Insights
NPPES metrics only — not quality of care.
1,734 OBSTETRICS/GYNECOLOGY in MI
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Provider Addresses for JOHN PETER KENNEDY (MD)
Mercury Drive, Dearborn, Wayne County, Michigan, 48126-3445, United States
DEARBORN, MI 481262947
Phone: (313) 583-5440
Fax: (313) 583-5542
Type: Location
Beaumont Boulevard, Southfield, Oakland County, Michigan, 48034, United States
SOUTHFIELD, MI 480333849
Phone: (947) 522-1863
Fax: (947) 522-0307
Type: Mailing
3 Hospital Dr Ste 312
Lewisburg, PA 178378909
Phone: (570) 523-8700
Type: Location
4900 Mercury Dr Ste 201
Dearborn, MI 481262947
Phone: (313) 583-5440
Fax: (313) 583-5542
Type: Location
21 Susquehanna Valley Mall Dr Ste C
Selinsgrove, PA 178709148
Phone: (570) 523-8700
Type: Location
4700 SCHAEFER RD STE 310
DEARBORN, MI 481263655
Phone: (947) 523-4680
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $35.
Total Amount is formed as General ($35) + Research ($0) + Ownership ($0) = $35.
Last reported payment date: 2024-10-29 • Largest payer in this snapshot: CooperSurgical, Inc. ($19).
Total Amount
$35
General + Research + Ownership
Payments
3
Total payment records
General Amount
$35
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-29
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| CooperSurgical, Inc. | $19 |
| Organon LLC | $16 |
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: 2017-05-17
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
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 |
|---|---|---|---|---|
| I20061002000110 | I | Obstetrics/Gynecology | PA | TBD |
| I20170517000182 | I | Obstetrics/Gynecology | MI | TBD |
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.
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 |
|---|---|---|---|---|
| G0101 | Cervical or vaginal cancer screening; pelvic and clinical breast examination | 14 | 14 | $0 |
Insurance plans in this area (ZIP 48126)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | MI | |
| Family Practice | MI | |
| - | MI | |
| - | MI | |
| Internal Medicine | MI | |
| Family Practice | MI | |
| Family Practice | MI | |
| Family Practice | MI | |
| Family Practice | MI | |
| - | MI |
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