Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

John M McKennan, MD

Individual provider Diagnostic Radiology Physician · NPI 1588625297

John M McKennan, MD is a Diagnostic Radiology in Utica, New York. Graduated from State University of Ny Upstate Medical University in 1982, 44 years ago. Accepts Medicare assignment. Licensed in New York.

Years since qualifying
44
Trained at
State University of Ny Upstate Medical University
Licensed in
NY
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

107 Business Park Dr
Utica, NY 13502-6399
Phone: (315) 792-4666
Fax: (315) 798-1893
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 1620083 (NY)

Record details

NPI number1588625297
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 31, 2006
Last updated in NPPESAugust 6, 2020
Certification dateAugust 6, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolSTATE UNIVERSITY OF NY UPSTATE MEDICAL UNIVERSITY
Graduated 1982 (44 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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