Gregory Kennebeck, MD
Gregory Kennebeck, MD is a Family Medicine Physician in Travis Afb, CA, registered under NPI 1871579847. This provider registers 2 separate taxonomy codes, which usually means they practise across more than one recognised specialty. NPPES records them as a sole proprietor, meaning the practice is not incorporated as a separate legal entity.
Getting there
The practice address on file is 101 BODIN CIR, Travis Afb, CA 94535. 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 |
|---|---|---|
| A63038 | CA | Emergency Medicine Physician |
| A63038 | CA | Family Medicine Physician primary |
This provider holds licence A63038 issued in CA. 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 - Emergency Medicine
- PAC ID
- 0143492413
Enrolled in Medicare 2 times, across 2 states:
| State | Enrollment ID | Provider type |
|---|---|---|
| Ohio | I20111010000235 | Practitioner - Emergency Medicine |
| Washington | I20210503002086 | Practitioner - Family Practice |
Medicare enrolment is recorded as approved under the provider type Practitioner - Emergency Medicine. There are 2 separate enrolment records across 2 states (OH, WA). Multiple enrolments usually mean the provider bills Medicare from more than one practice location, or has kept an earlier enrolment after moving. Each record carries its own enrolment ID, listed above. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Family Medicine covers
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. NUCC Health Care Provider Taxonomy, code 207Q00000X
All registered taxonomy codes
This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 207P00000X | Emergency Medicine Physician | A63038 | CA | |
| 207Q00000X | Family Medicine Physician | A63038 | CA | primary |
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 | 1871579847 valid check digit |
|---|---|
| Entity type | Individual (NPI-1) |
| Enumeration date | Dec 21, 2005 |
| Last updated | May 31, 2013 |
| Status | Active |
| Sole proprietor | Yes |
| Gender | Male |
| Credential | MD |
| Practice address |
101 BODIN CIR Travis Afb, CA 94535 (707) 423-1110 |
| Mailing address |
2312 FAR HILLS AVE # 147 Dayton, OH 45419 |
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 | 8 | 7 | 1 | 5 | 7 | 9 | 8 | 4 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 8 | 5 | 1 | 1 | 7 | 9 | 8 | 8 |
Sum = 73 · next multiple of 10 = 80 · check digit = 7 · actual last digit = 7
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.