Shane Kennedy, MD
Shane Kennedy, MD is a Nephrology Physician in Fort Worth, TX, registered under NPI 1679517569.
Getting there
The practice address on file is 2221 8TH AVE, Fort Worth, TX 76110. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| L6086 | TX | Nephrology Physician primary |
This provider holds licence L6086 issued in TX. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
- Status
- Approved
- Provider type
- Practitioner - Nephrology
- PAC ID
- 0840472338
Medicare enrolment is recorded as approved under the provider type Practitioner - Nephrology. This means the provider is enrolled to bill Medicare, though it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Nephrology covers
An 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. NUCC Health Care Provider Taxonomy, code 207RN0300X
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.
| NPI | 1679517569 valid check digit |
|---|---|
| Entity type | Individual (NPI-1) |
| Enumeration date | Jun 15, 2006 |
| Last updated | Mar 18, 2021 |
| Status | Active |
| Sole proprietor | No |
| Credential | MD |
| Practice address |
2221 8TH AVE Fort Worth, TX 76110 (817) 336-5060 Fax (817) 336-1744 |
| Other identifiers |
158632301
(TX) P00040101 · MEDICARE RAILROAD 10012357 · AMERIGROUP 1634611 · UNISYS 8J5430 · BCBS OF TX (TX) 7724474 · AETNA |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 6 | 7 | 9 | 5 | 1 | 7 | 5 | 6 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 6 | 5 | 9 | 1 | 1 | 5 | 5 | 3 |
Sum = 61 · next multiple of 10 = 70 · check digit = 9 · actual last digit = 9
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.