NPI age
19 years
Enumerated 2006-06-15
● Active
Type 1 · Individual
Shane W Kennedy, MD
Kennedy is 1 of 65 internal medicine providers in Fort Worth and 1 of 1582 in Texas.
Primary specialty
Internal Medicine
Licensed in
TX
1 state
Status
Active
No deactivations on record
Last NPPES update
2021-03-18
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 1582 active internal medicine providers in Texas.
NPI age
19 years
≈ at median (18 yr)
State licenses
1 state
14% of peers hold multiple states
Subspecialties
0
34% of peers hold subspecialties
NPI lifetime · 2006 → 2026
2006-06Enumerated in NPPES
2006
2026
Where they practice
Practice location
2221 8th Ave
Fort Worth, TX 761101812
Mailing address
2221 8th Ave
Fort Worth, TX 761101812
Specialties
-
Internal Medicine PrimaryAn internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 158632301 | |
| 01 | P00040101 | MEDICARE RAILROAD |
| 01 | 10012357 | AMERIGROUP |
| 01 | 1634611 | UNISYS |
| 01 (TX) | 8J5430 | BCBS OF TX |
| 01 | 7724474 | AETNA |
Practice context
Part of a multi-provider practice. 24 other active providers share this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.