Elaine Kennedy, M.D.
NPI 1083634935 · Pediatric Adolescent Medicine Physician · Tahlequah, OK
Enrolled with Medicare as Practitioner - Pediatric Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Elaine Kennedy, M.D. is a Pediatric Adolescent Medicine Physician provider in Tahlequah, OK (NPI 1083634935).
Provider details
- NPI number
- 1083634935
- Entity type
- Individual
- Primary specialty
- Pediatric Adolescent Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- License
- 22124 (WV)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-07-20
- Last updated
- 2011-01-06
Frequently asked questions
- What is Elaine Kennedy's NPI number?
- Elaine Kennedy's National Provider Identifier (NPI) is 1083634935, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Elaine Kennedy's specialty?
- Elaine Kennedy is listed in the NPPES registry with a primary specialty of Pediatric Adolescent Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Elaine Kennedy located?
- Elaine Kennedy's practice location on file with NPPES is 100 S Bliss Ave, Tahlequah, OK 74464-2512.
- What is Elaine Kennedy's phone number?
- The practice phone number listed in the NPPES registry for Elaine Kennedy is (918) 458-3120.
- Does Elaine Kennedy accept Medicare?
- Elaine Kennedy is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Elaine Kennedy's NPI active?
- Yes — Elaine Kennedy's NPI (1083634935) is active in the NPPES registry as of the last update on 2011-01-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.