CMS-1500 Box 24J / 33a • NPI
1497720197
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
207Q00000X (CMS 08)
Board-Certified Family Medicine Physician (All-Ages Primary Care Doctor)
Box 32 Service Location & ZIP+4
1614 DIAMOND STREET PL, ONAWA, IA, 51040-1554
✓ 9-Digit EDI 837 ZIP+4 (51040-1554)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1497720197 (SHANNON RENEE KENNEDY, M.D.) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).
CMS Medicare Order & Referring PECOS Eligibility
Medicare Part B
✓ Eligible
DMEPOS Ordering
✓ Eligible
Home Health (HHA)
✓ Eligible
Power Mobility
✓ Eligible
Hospice Referring
✓ Eligible
Empirical CMS Medicare Claims, CPT Utilization & Part D Prescribing (NPI #1497720197)
Medicare Beneficiaries
207
Total Billed Services
451
Distinct CPT/HCPCS Codes
22
Medicare Allowed Total
$15,344.43
Actual Top Billed CPT / HCPCS Procedures (CMS Part B)
| CPT / HCPCS | Clinical Procedure Description | Services |
|---|---|---|
80061 | Blood test, lipids (cholesterol and triglycerides) | 89 |
81003 | Automated urinalysis test | 54 |
82044 | Urine microalbumin (protein) analysis | 21 |
82570 | Creatinine level to test for kidney function or muscle injury | 21 |
83036 | Hemoglobin a1c level | 65 |
87635 | Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen | 14 |
93005 | Routine electrocardiogram (ecg) using at least 12 leads with tracing | 17 |
99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 28 |
Actual Top Prescribed Medications (CMS Part D)
| Brand / Generic Medication | Total Claims | Patients |
|---|---|---|
| Albuterol Sulfate Hfa Albuterol Sulfate | 15 | <11 |
| Alendronate Sodium Alendronate Sodium | 25 | <11 |
| Allopurinol Allopurinol | 39 | <11 |
| Alprazolam Alprazolam | 88 | 22 |
| Amiodarone Hcl Amiodarone Hcl | 21 | <11 |
| Amitriptyline Hcl Amitriptyline Hcl | 19 | <11 |
| Amlodipine Besylate Amlodipine Besylate | 144 | 30 |
| Amoxicillin Amoxicillin | 45 | 33 |
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1497720197 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | SHANNON RENEE KENNEDY, M.D. |
| Plain-English Specialty | Board-Certified Family Medicine Physician (All-Ages Primary Care Doctor) NUCC Code: 207Q00000X (Family Medicine) |
| Certifying / Licensing Body | American Board of Family Medicine (ABFM) |
| Practice Location Address | 1614 DIAMOND STREET PL, ONAWA, IA, 51040-1554 |
| Practice Telephone / Fax | Tel: (712) 423-1525 | Fax: (712) 423-2528 |
| Administrative Mailing Address | 1614 DIAMOND STREET PL, ONAWA, IA, 51040-1554 |
| Enumeration & Last Sync | Enumerated: 2006-02-17 | CMS Record Updated: 2011-01-24 |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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Plain-English Taxonomy & CMS Crosswalk (207Q00000X)
What Does Taxonomy Code 207Q00000X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 207Q00000X translates to:
"Board-Certified Family Medicine Physician (All-Ages Primary Care Doctor)"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (SHANNON RENEE KENNEDY, M.D.)
Typical CPT / Diagnostic Procedures:- Comprehensive Annual Preventive Physical Examination & Cardiometabolic Screening
- Outpatient ECG / EKG Interpretation (CPT 93000) & Ambulatory BP Monitoring
- Point-of-Care HbA1c, Lipid Panel, Urinalysis & BMI Risk Stratification
- Minor Office Procedures: Wound Suturing, Abscess Drainage & Joint Injections
- Adult & Pediatric Immunization Administration (Tetanus/Tdap, Influenza, HPV)
- Metformin, SGLT2 Inhibitors & GLP-1 Receptor Agonists (Type 2 Diabetes)
- Lisinopril, Losartan & Amlodipine (First-Line Hypertension Management)
- Atorvastatin & Rosuvastatin (Cardiovascular Lipid Optimization)
- Nitrofurantoin, Trimethoprim-Sulfamethoxazole & Ciprofloxacin (Outpatient UTIs)
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
207Q00000X — Family MedicinePlain English: Board-Certified Family Medicine Physician (All-Ages Primary Care Doctor) | State: IA | License: 38831 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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