DANIEL WILLIAM KENNEDY (M.D.) – Diagnostic Radiology Physician, NPI 1801004585
Diagnostic Radiology Physician
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Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,804 DIAGNOSTIC RADIOLOGY in OH
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Provider Addresses for DANIEL WILLIAM KENNEDY (M.D.)
Licking Memorial Hospital, 1320, West Main Street, Newark, Licking County, Ohio, 43055, United States
NEWARK, OH 430551822
Phone: (740) 348-4710
Fax: (740) 348-4740
Type: Location
PO BOX 948
2112 CHERRY VALLEY RD.
NEWARK, OH 430580948
Phone: (740) 522-3774
Fax: (740) 522-2221
Type: Mailing
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.
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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: 2010-06-29
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20100629000054 | I | Diagnostic Radiology | OH | 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 |
|---|---|---|---|---|
| 71045 | X-ray of chest, 1 view | 539 | 420 | $0 |
| 70450 | Ct scan head or brain without contrast | 356 | 324 | $0 |
| 77067 | Screening mammography | 314 | 314 | $0 |
| 77063 | Screening 3d breast mammography | 314 | 314 | $0 |
| 74177 | Ct scan of abdomen and pelvis with contrast | 217 | 207 | $0 |
Insurance plans in this area (ZIP 43055)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| DIAGNOSTIC RADIOLOGY | OH | 71250 | CT scan chest | 51 | 50 |
| DIAGNOSTIC RADIOLOGY | OH | 73110 | X-ray of wrist, minimum of 3 views | 22 | 20 |
| DIAGNOSTIC RADIOLOGY | OH | 73630 | X-ray of foot, minimum of 3 views | 77 | 70 |
| DIAGNOSTIC RADIOLOGY | OH | 76830 | Ultrasound pelvis through vagina | 19 | 19 |
| DIAGNOSTIC RADIOLOGY | OH | 78452 | Nuclear medicine study of vessels of heart using drugs or exercise multiple studies | 34 | 34 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology, Interventional Radiology | OH | |
| Radiation Oncology, Interventional Radiology, Diagnostic Radiology, Diagnostic Radiology | CA | |
| Diagnostic Radiology | OH | |
| Diagnostic Radiology | TX | |
| Diagnostic Radiology | OH | |
| Diagnostic Radiology | NY | |
| Diagnostic Radiology, Radiation Oncology | IL | |
| Diagnostic Radiology | OH | |
| Diagnostic Radiology, Radiation Oncology | AZ | |
| Diagnostic Radiology | OH |
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