KENNEDY BURGESS (D.C.) – Chiropractor, NPI 1457049033

KENNEDY BURGESS (D.C.) is a healthcare provider. based in Hudson, Ohio. specializing in CHIROPRACTIC. They hold the professional credentials D.C.. They hold a License No. DC-05260 (OH). The NPI Number for KENNEDY BURGESS (D.C.) is 1457049033

Main info

Female
3 Years Of Experience
Accepts Medicare Assignment
Name
KENNEDY BURGESS (D.C.)
NPI
1457049033
Phone
(330) 618-3070
Address
5111 DARROW RD
Enumeration Date
1 May 2023
Last Update Date
1 May 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3306561977
Graduation Year
2023 (3 years ago)
PAC ID
1759740582
Group Practice PAC ID
1153624085
Professional Enrollment ID
I20230711002470
Address ID
OH442364003HU5111XRDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:3State licenses:1Digital endpointsOther names

1,413 CHIROPRACTIC in OH

Provider Addresses for KENNEDY BURGESS (D.C.)

  • 5111 DARROW RD

    HUDSON, OH 442364003

    Phone: (330) 618-3070

    Mailing address matches the actual address.

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: 2023-07-11

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
I20230711002470IChiropracticOHTBD

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 44236)

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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: 1153624085View full group profile
NameSpecialtyState
C H I R O P R A C T I CNY
C H I R O P R A C T I COH

Reviews

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Frequently asked questions

What federal number belongs to KENNEDY BURGESS (D.C.)?
The federal identifier for KENNEDY BURGESS (D.C.) is NPI 1457049033.
Is KENNEDY BURGESS (D.C.) currently active in the NPI registry?
CMS-published data lists KENNEDY BURGESS (D.C.) as an active registrant.
Does KENNEDY BURGESS (D.C.) list a primary specialty?
If you are matching referrals, note Chiropractor for KENNEDY BURGESS (D.C.). Clinical services aligned with this taxonomy classification.
Where does public data place KENNEDY BURGESS (D.C.)?
The snapshot lists Hudson, Ohio for KENNEDY BURGESS (D.C.); download NPPES for the complete set.
Is KENNEDY BURGESS (D.C.) a real provider?
This page reflects official NPPES data for NPI 1457049033. Always confirm identity and privileges with the practice and licensing boards.

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