ALFRED PARKER JR. KENNEDY (MD) – Pediatric Surgery Physician, NPI 1821076019
Pediatric Surgery Physician
Main info
Contacts
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for ALFRED PARKER JR. KENNEDY (MD)
2100 W Clinch Ave
Suite 430
Knoxville, TN 379162219
Phone: (865) 546-2131
Fax: (865) 637-2535
Type: Location
Geisinger Medical Center Danville, 100, North Academy Avenue, Danville, Montour County, Pennsylvania, 17822, United States
DANVILLE, PA 178224903
Phone: (570) 271-6144
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 4 Open Payments records for all available years, with a total value of $181.
Total Amount is formed as General ($181) + Research ($0) + Ownership ($0) = $181.
Last reported payment date: 2024-07-31 • Largest payer in this snapshot: SANOFI PASTEUR INC. ($118).
Total Amount
$181
General + Research + Ownership
Payments
4
Total payment records
General Amount
$181
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-07-31
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| SANOFI PASTEUR INC. | $118 |
| Medtronic, Inc. | $44 |
| Davol Inc. | $19 |
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: 2010-05-12
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 |
|---|---|---|---|---|
| I20100512000442 | I | General Surgery | PA | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 37916)
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