Timothy Kennedy, MD
NPI 1417985631 · Urology Physician · Green Bay, WI
Enrolled with Medicare as Practitioner - Urology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Timothy Kennedy, MD is a Urology Physician provider in Green Bay, WI (NPI 1417985631).
Provider details
- NPI number
- 1417985631
- Entity type
- Individual
- Primary specialty
- Urology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 29987 (WI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure33% of score
20 yrs in NPPES registry
- Profile completeness33% of score
100% of core fields populated
- Practice footprint20% of score
1 documented practice location
- Open Payments transparency13% of score
Has Open Payments disclosures (2024)
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.
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$454 across 3 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-06-28
- Last updated
- 2021-06-01
- Certified
- 2021-06-01
Frequently asked questions
- What is Timothy Kennedy's NPI number?
- Timothy Kennedy's National Provider Identifier (NPI) is 1417985631, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Timothy Kennedy's specialty?
- Timothy Kennedy is listed in the NPPES registry with a primary specialty of Urology Physician (Allopathic & Osteopathic Physicians).
- Where is Timothy Kennedy located?
- Timothy Kennedy's practice location on file with NPPES is 2845 Greenbrier Rd Ste 240, Green Bay, WI 54311-6519.
- What is Timothy Kennedy's phone number?
- The practice phone number listed in the NPPES registry for Timothy Kennedy is (920) 288-8280.
- Does Timothy Kennedy accept Medicare?
- Timothy Kennedy is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Timothy Kennedy's NPI active?
- Yes — Timothy Kennedy's NPI (1417985631) is active in the NPPES registry as of the last update on 2021-06-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.