TIMOTHY ROBERT KENNEDY (M.D.) – Obstetrics & Gynecology Physician, NPI 1720033319

TIMOTHY ROBERT KENNEDY (M.D.) is a healthcare provider. based in Silverdale, Washington. specializing in OBSTETRICS/GYNECOLOGY. They hold the professional credentials M.D.. They hold a License No. MD00027437 (WA). The NPI Number for TIMOTHY ROBERT KENNEDY (M.D.) is 1720033319

Main info

Male
39 Years Of Experience
Accepts Medicare Assignment
Name
TIMOTHY ROBERT KENNEDY (M.D.)
NPI
1720033319
Phone
(360) 782-3102
Address
9621 RIDGETOP BLVD NW
Enumeration Date
23 May 2006
Last Update Date
7 March 2023

Doctor Profile

Medical School Name
CREIGHTON UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
3607823100
Graduation Year
1987 (39 years ago)
PAC ID
4284681727
Group Practice PAC ID
0547173866
Professional Enrollment ID
I20050406000574
Address ID
WA983838676SI1780XRDXX405
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,038 OBSTETRICS/GYNECOLOGY in WA

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Provider Addresses for TIMOTHY ROBERT KENNEDY (M.D.)

  • The Doctors Clinic - Ridgetop East, 9621, Ridgetop Boulevard Northwest, Silverdale, Kitsap County, Washington, 98383, United States

    SILVERDALE, WA 983838502

    Phone: (360) 782-3102

    Type: Mailing

  • Northwest Myhre Road, Silverdale, Kitsap County, Washington, 98383, United States

    SUITE 2120

    SILVERDALE, WA 983838676

    Phone: (360) 782-3102

    Fax: (360) 782-3112

    Type: Location

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 $521.

Total Amount is formed as General ($521) + Research ($0) + Ownership ($0) = $521.

Last reported payment date: 2023-09-22 • Largest payer in this snapshot: Intuitive Surgical, Inc. ($521).

Total Amount

$521

General + Research + Ownership

Payments

2

Total payment records

General Amount

$521

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-09-22

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Intuitive Surgical, Inc.$521
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: 2005-04-06

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
I20050406000574IObstetrics/GynecologyWATBD

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
99213Established patient office or other outpatient visit, 20-29 minutes2215$0
Q0091Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory1919$0
G0101Cervical or vaginal cancer screening; pelvic and clinical breast examination1818$0
99203New patient office or other outpatient visit, 30-44 minutes1515$0
View full utilization report →

Insurance plans in this area (ZIP 98383)

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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: 0547173866View full group profile

Reviews

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Frequently asked questions

What federal number belongs to TIMOTHY ROBERT KENNEDY (M.D.)?
The federal identifier for TIMOTHY ROBERT KENNEDY (M.D.) is NPI 1720033319.
Does this profile mean TIMOTHY ROBERT KENNEDY (M.D.) is currently active?
Yes — TIMOTHY ROBERT KENNEDY (M.D.) appears active in the national provider directory.
What field does TIMOTHY ROBERT KENNEDY (M.D.) work in?
You can think of TIMOTHY ROBERT KENNEDY (M.D.) as practicing within Obstetrics & Gynecology Physician. Clinical services aligned with this taxonomy classification.
What location metadata exists for TIMOTHY ROBERT KENNEDY (M.D.)?
The page summarizes Silverdale, Washington for TIMOTHY ROBERT KENNEDY (M.D.); expand the address list for detail.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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