JERRY D. KENNETT M.D. – NPI #1851383145
Internal Medicine

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

Health Care Provider Taxonomy Code for Internal Medicine

JERRY KENNETT is a physician located in COLUMBIA, MO. NPPES has assigned the NPI number 1851383145 to JERRY KENNETT on August 22, 2005. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 207RC0000X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Cardiovascular Disease

The NPI profile was previously updated about 3 years ago on Jul 28, 2023. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for JERRY KENNETT below.

NPI Profile for
JERRY D. KENNETT

NPI Number
1851383145
Enumeration Date

(about 21 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
JERRY D. KENNETT
Credentials
M.D.
Primary location
1605 E BROADWAY STE 300
COLUMBIA, MO 65201-8023
Phone: (573) 256-7700 Fax: (573) 256-3003
Mailing address
1605 E BROADWAY
SUITE 300
COLUMBIA, MO 65201-8023
Phone: (573) 256-7700 Fax: (573) 256-3071
Sole Proprietor
No
Updated
Certification Date
Jul 28, 2023

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RC0000X
- Internal Medicine / Cardiovascular Disease (Primary)		 MO R5649

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Endpoint

Health Information Exchange (HEI)

HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.

Endpoint
[email protected]
Endpoint type
Direct Messaging Address
Endpoint Description
DIRECT MESSAGING ADDRESS
Content Type
OTHER
Affiliation
N
Endpoint Location
1605 E BROADWAY STE 300,
COLUMBIA, MO 77025-1669

Additional Information

Education
UNIVERSITY OF MISSOURI, COLUMBIA SCHOOL OF MEDICINE - Graduated 1973
Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
JERRY KENNETT is affiliated with the following medical group(s):
  • HOSPITAL
    • BOONE HOSPITAL CENTER
      1600 E BROADWAY
      COLUMBIA, MO 65201
    • BOTHWELL REGIONAL HEALTH CENTER
      601 E 14TH ST
      SEDALIA, MO 65302
    • CAPITAL REGION MEDICAL CENTER
      1125 MADISON ST
      JEFFERSON CITY, MO 65102
    • MOBERLY REGIONAL MEDICAL CENTER
      1515 UNION AVE
      MOBERLY, MO 65270
    • SSM HEALTH ST MARY'S HOSPITAL JEFFERSON CITY
      2505 MISSION DRIVE
      JEFFERSON CITY, MO 65109

Why is my NPI data (personal information) being displayed publicly?
If you have an active NPI profile, your profile is required to be disclosed according to the FOIA and eFOIA. HIPAA also requires covered providers to share their NPI with other providers, health plans, clearinghouses and any entity that may need it for billing purposes.

How do I correct or change the NPI data displayed here?
At any time, providers can make changes to their NPI profile at NPPES. Login to NPPES to make changes online or call (800) 465-3203 for assistance. Changes made at NPPES will be reflected on this web site within a few days.

Can I hide my NPI profile from the public?
Unfortunately, No. The NPPES discloses health care provider data under the Freedom of Information Act to the public, which means anyone may request such information directly from the National Plan & Provider Enumeration System. See the complete CMS Data Dissemination Notice here.