JOHN JOSEPH MCKENNA (MD) – Anesthesiology Physician, NPI 1083076079

JOHN JOSEPH MCKENNA (MD) is a healthcare provider. based in Spokane, Washington. specializing in ANESTHESIOLOGY. They hold the professional credentials MD. They hold a License No. 61034983 (WA). The NPI Number for JOHN JOSEPH MCKENNA (MD) is 1083076079

Main info

Male
10 Years Of Experience
Accepts Medicare Assignment
Name
JOHN JOSEPH MCKENNA (MD)
NPI
1083076079
Phone
(509) 473-5800
Address
800 W 5TH AVE
Enumeration Date
28 March 2016
Last Update Date
3 September 2020

Doctor Profile

Medical School Name
GEORGETOWN UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
5094585800
Graduation Year
2016 (10 years ago)
PAC ID
2163711938
Group Practice PAC ID
7214823657
Professional Enrollment ID
I20201007000841
Address ID
WA992042803SP800XXAVEX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness75
Years active:10State licenses:1Digital endpointsOther names

1,517 ANESTHESIOLOGY in WA

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Provider Addresses for JOHN JOSEPH MCKENNA (MD)

  • MultiCare Deaconess Hospital, 800, West 5th Avenue, Cliff–Cannon, Spokane, Spokane County, Washington, 99204, United States

    SPOKANE, WA 992042803

    Phone: (509) 473-5800

    Type: Location

  • PO BOX 21040

    SPOKANE, WA 992017197

    Phone: (509) 473-7672

    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.

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: 2020-10-07

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
I20201007000841IAnesthesiologyWATBD

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
00103Anesthesia for procedure on eyelid5150$0
00811Anesthesia for other procedure on large bowel using an endoscope3232$0
00731Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope2626$0
00813Anesthesia for procedure on small and large bowel using an endoscope1212$0
01922Anesthesia for x-ray or radiation therapy1212$0
View full utilization report →

Insurance plans in this area (ZIP 99204)

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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: 7214823657View full group profile
NameSpecialtyState
A N E S T H E S I O L O G YWA
Certified Registered Nurse Anesthetist (Crna)WA
Certified Registered Nurse Anesthetist (Crna)WA
Certified Registered Nurse Anesthetist (Crna)WA
Certified Registered Nurse Anesthetist (Crna)WA
A N E S T H E S I O L O G YWA
A N E S T H E S I O L O G YWA
A N E S T H E S I O L O G YAZ
Certified Registered Nurse Anesthetist (Crna)WA
Certified Registered Nurse Anesthetist (Crna)WA

Reviews

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Frequently asked questions

Can I use this page to confirm JOHN JOSEPH MCKENNA (MD)'s NPI?
Yes. JOHN JOSEPH MCKENNA (MD) is listed with NPI 1083076079 in the public NPI dataset.
Is JOHN JOSEPH MCKENNA (MD) listed as active for patients and plans?
The listing shows JOHN JOSEPH MCKENNA (MD) as active in the NPI system.
What healthcare role does JOHN JOSEPH MCKENNA (MD) hold?
Scheduling teams often label JOHN JOSEPH MCKENNA (MD) under Anesthesiology Physician. Clinical services aligned with this taxonomy classification.
Where should I expect JOHN JOSEPH MCKENNA (MD) on a map?
Expect Spokane, Washington as a primary anchor for JOHN JOSEPH MCKENNA (MD) unless the record lists multiple sites.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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