DR. KENNETH AMBROSE PERRY (DO) – Anesthesiology Physician, NPI 1225616501

DR. KENNETH AMBROSE PERRY (DO) is a healthcare provider. based in Houston, Texas. specializing in ANESTHESIOLOGY. They hold the professional credentials DO. They hold a License No. 00169 (AZ). The NPI Number for DR. KENNETH AMBROSE PERRY (DO) is 1225616501

Main info

Male
5 Years Of Experience
Accepts Medicare Assignment
Name
DR. KENNETH AMBROSE PERRY (DO)
NPI
1225616501
Phone
(713) 500-7160
Address
6431 Fannin St Ste 5.170
Enumeration Date
30 March 2021
Last Update Date
22 September 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4807283000
Graduation Year
2021 (5 years ago)
PAC ID
9739688391
Group Practice PAC ID
0648161810
Professional Enrollment ID
I20250819005208
Address ID
AZ852246282CH1955XRDXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience39
Completeness85
Years active:5State licenses:1Digital endpointsOther names

4,591 ANESTHESIOLOGY in TX

Provider Addresses for DR. KENNETH AMBROSE PERRY (DO)

  • 6431 Fannin St Ste 5.170

    Houston, TX 770301501

    Phone: (713) 500-7160

    Type: Location

  • 6431 FANNIN ST STE 5.170

    HOUSTON, TX 770301501

    Phone: (713) 500-7160

    Type: Location

  • 1955 W FRYE RD

    CHANDLER, AZ 852246282

    Phone: (480) 507-2961

    Type: Location

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: 2025-08-19

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
I20250819005208IAnesthesiologyAZTBD

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 77030)

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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: 0648161810View full group profile
NameSpecialtyState
A N E S T H E S I O L O G YID
Certified Registered Nurse Anesthetist (Crna)AZ
A N E S T H E S I O L O G YAZ
A N E S T H E S I O L O G YFL
A N E S T H E S I O L O G YAZ
A N E S T H E S I O L O G YAZ
A N E S T H E S I O L O G YKS
A N E S T H E S I O L O G YAZ
Certified Registered Nurse Anesthetist (Crna)AZ
A N E S T H E S I O L O G YAZ

Reviews

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Frequently asked questions

What is DR. KENNETH AMBROSE PERRY (DO)'s NPI number?
DR. KENNETH AMBROSE PERRY (DO)'s NPI is 1225616501 — the number used across U.S. healthcare to identify this provider.
Is there an active status for DR. KENNETH AMBROSE PERRY (DO)?
For scheduling context, DR. KENNETH AMBROSE PERRY (DO) is shown as active in the registry.
What expertise is attributed to DR. KENNETH AMBROSE PERRY (DO)?
DR. KENNETH AMBROSE PERRY (DO)'s specialty line reads Anesthesiology Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for DR. KENNETH AMBROSE PERRY (DO)?
Travel planning: use Houston, Texas as the reference point for DR. KENNETH AMBROSE PERRY (DO), then confirm.
When was this NPI issued?
Enumeration for DR. KENNETH AMBROSE PERRY (DO) is noted as March 30, 2021 where the registry provides it.

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