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

Neil Kennedy, MD

Individual provider Diagnostic Radiology Physician · NPI 1841366770

Neil Kennedy, MD is a Diagnostic Radiology in Madison, Wisconsin. Graduated from University of Wisconsin School of Medicine in 2002, 24 years ago. Practices with Ft Jesse Imaging Center LLC, an 11-clinician group and accepts Medicare assignment. Licensed in California, Missouri and Wisconsin.

Years since qualifying
24
Trained at
University of Wisconsin School of Medicine
Licensed in
CA, MO, WI
In the registry since
2006
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

700 S Park St Attn: Madison Radiologists S.c
Madison, WI 53715-1830
Phone: (608) 251-6100
Fax: (608) 826-2710
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 51546-020 (WI)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence A97631 (CA)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 2003007553 (MO)

Record details

NPI number1841366770
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedNovember 24, 2006
Last updated in NPPESAugust 29, 2019
Mailing address8200 E 34th Cir N, Ste 1404, Wichita, KS 67226-1361

Medicare enrollment

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

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolUNIVERSITY OF WISCONSIN SCHOOL OF MEDICINE
Graduated 2002 (24 years in practice)
Group practice Ft Jesse Imaging Center Llc — 11 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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