Robert J Kennedy (NPI# 1740220789, PAC ID# 3870510910) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1740220789 |
| PAC ID by PECOS | 3870510910 |
| Professional Enrollment ID | I20051028000228 |
| Full Name | Robert J Kennedy |
| Organization Legal Name | INTERVENTIONAL AND VASCULAR CENTER PLLC |
| Address |
415 S Wickham Rd Melbourne FL 32904-1137 |
| Phone Number | 3214001220 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF MISSISSIPPI SCHOOL OF MEDICINE |
| Graduation Year | 1999 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Secondary Specialties | INTERVENTIONAL RADIOLOGY |
| Group Practice PAC ID | 5991085482 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | M |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100291 | STEWARD MELBOURNE HOSPITAL |
| 100092 | WUESTHOFF MEDICAL CENTER ROCKLEDGE |
| Address | Phone | Organization |
|---|---|---|
| 415 S Wickham Rd, Melbourne, FL 32904-1137 | 3214001220 | INTERVENTIONAL AND VASCULAR CENTER PLLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_MR_1 | Medication Reconciliation | 98% | |
| ACI_EC_TRANS_MR_1 | Medication Reconciliation | 98% | |
| ACI_EC_TRANS_PEA_1 | Provide Patient Access | 74% | |
| ACI_EC_TRANS_PEA_1 | Provide Patient Access | 74% | |
| ACI_EC_TRANS_PHCDRR_3 | Specialized Registry Reporting | % | |
| ACI_EC_TRANS_PHCDRR_3 | Specialized Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| MIPS_EC_047_overall | Care Plan | 69% | |
| MIPS_EC_047_overall | Care Plan | 69% |
| Organization Legal Name | INTERVENTIONAL AND VASCULAR CENTER PLLC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brian Dunfee | Interventional Radiology | Interventional and Vascular Center Pllc | 415 S Wickham Rd, Melbourne, FL 32904-1137 |
| Street Address |
415 S WICKHAM RD |
| City | MELBOURNE |
| State | FL |
| Zip | 32904-1137 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brian Dunfee | Interventional Radiology | Interventional and Vascular Center Pllc | 415 S Wickham Rd, Melbourne, FL 32904-1137 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jose A Vazquez | Ophthalmology | Aggarwal Medical Associates Pa | 232 S Wickham Rd, Melbourne, FL 32904-1123 |
| Karen M Rafferty | Anesthesiology | Apollo Anesthesia, Pa | 375 S Wickham Rd, Melbourne, FL 32904-1135 |
| Julie N. Chevillet | Orthopedic Surgery | Spine and Orthopaedic Specialists of Central Florida LLC | 395 S Wickham Rd, Melbourne, FL 32904-1135 |
| Ana V Delgado | Anesthesiology | Apollo Anesthesia, Pa | 375 S Wickham Rd, Melbourne, FL 32904-1135 |
| Alberto Perez Dimaggio | Anesthesiology | Apollo Anesthesia, Pa | 375 S Wickham Rd, Melbourne, FL 32904-1135 |
| Brad E Mccollom | Neurosurgery | Spine and Orthopaedic Specialists of Central Florida LLC | 395 S Wickham Rd, Melbourne, FL 32904-1135 |
| James Ploucha | Anesthesiology | Apollo Anesthesia, Pa | 375 S Wickham Rd, Melbourne, FL 32904-1135 |
| Krishna Vara | General Practice | 395 S Wickham Rd, West Melbourne, FL 32904-1135 | |
| Anthony Saracino | Urology | Urologic Specialists of Central Florida Pllc | 575 S Wickham Rd, Suite A, West Melbourne, FL 32904-1170 |
| Prodromos G Borboroglu | Urology | 575 S Wickham Rd, Suite B, West Melbourne, FL 32904-1170 | |
| Find all physicians in zip 32904 | |||
| City | MELBOURNE |
| Zip Code | 32904 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | MELBOURNE + DIAGNOSTIC RADIOLOGY |
Please comment or provide details below to improve the information on Robert J Kennedy.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.