DR. RICHARD P KENNEDY (MD) – Cardiovascular Disease Physician, NPI 1134120512

DR. RICHARD P KENNEDY (MD) is a healthcare provider. based in Tacoma, Washington. specializing in CARDIOVASCULAR DISEASE (CARDIOLOGY). They hold the professional credentials MD. They hold a License No. MD00034315 (WA). The NPI Number for DR. RICHARD P KENNEDY (MD) is 1134120512

Main info

Male
43 Years Of Experience
Accepts Medicare Assignment
Name
DR. RICHARD P KENNEDY (MD)
NPI
1134120512
Phone
Not provided
Address
P.O. BOX 5299
Enumeration Date
9 August 2005
Last Update Date
4 March 2022

Doctor Profile

Medical School Name
LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN NEW ORLEANS
Secondary Phone
-
Graduation Year
1983 (43 years ago)
PAC ID
3173647468
Group Practice PAC ID
7719899897
Professional Enrollment ID
I20100823000953
Address ID
WA983351706GI4700XDRXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness75
Years active:20State licenses:1Digital endpointsOther names

638 CARDIOVASCULAR DISEASE (CARDIOLOGY) in WA

Provider Addresses for DR. RICHARD P KENNEDY (MD)

  • P.O. BOX 5299

    MS: 1313-5-PCO

    TACOMA, WA 984150299

    Phone:

    Type: Mailing

  • 1603 COOPER POINT RD NW

    OLYMPIA, WA 985028325

    Phone: (253) 572-7320

    Type: Location

  • 500, Lilly Road Northeast, Olympia, Thurston County, Washington, 98506, United States

    STE 100

    OLYMPIA, WA 985065195

    Phone: (360) 413-8525

    Fax: (360) 413-8876

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $32.

Total Amount is formed as General ($32) + Research ($0) + Ownership ($0) = $32.

Last reported payment date: 2024-02-05 • Largest payer in this snapshot: Amgen Inc. ($28).

Total Amount

$32

General + Research + Ownership

Payments

2

Total payment records

General Amount

$32

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-02-05

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2010-08-23

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
I20100823000953ICardiovascular Disease (Cardiology)WATBD

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
99214Established patient office or other outpatient visit, 30-39 minutes439253$0
99213Established patient office or other outpatient visit, 20-29 minutes172145$0
93306Ultrasound of heart with color-depicted blood flow, rate, direction and valve function172170$0
763763d radiographic procedure4949$0
93000Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report4543$0
View full utilization report →

Insurance plans in this area (ZIP 98415)

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Provider's Procedures

DR. RICHARD P KENNEDY (MD) performs procedures in CARDIOVASCULAR DISEASE (CARDIOLOGY). See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
CARDIOVASCULAR DISEASE (CARDIOLOGY)WA93010Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report4337
CARDIOVASCULAR DISEASE (CARDIOLOGY)WA93458Insertion of catheter in left heart for imaging of blood vessels or grafts and left lower heart6968

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: 7719899897View full group profile
NameSpecialtyState
Physician AssistantWA
Nurse PractitionerWA
-IL
O P H T H A L M O L O G YOR
O P H T H A L M O L O G YWA
Nurse PractitionerWA
Family PracticeWA
Interventional Radiology, Diagnostic RadiologyOH
Physician AssistantID
Clinical PsychologistWA

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Frequently asked questions

What unique ID ties claims to DR. RICHARD P KENNEDY (MD)?
NPI 1134120512 is assigned to DR. RICHARD P KENNEDY (MD) under the national enumeration system.
Is DR. RICHARD P KENNEDY (MD)'s NPI currently valid?
The extract we use shows DR. RICHARD P KENNEDY (MD) as active.
What field does DR. RICHARD P KENNEDY (MD) work in?
You can think of DR. RICHARD P KENNEDY (MD) as practicing within Cardiovascular Disease Physician. Clinical services aligned with this taxonomy classification.
What location shows for DR. RICHARD P KENNEDY (MD)?
We surface Tacoma, Washington for DR. RICHARD P KENNEDY (MD) based on available NPPES addresses.
What if Tacoma, Washington seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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