Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Shane W Kennedy, MD

Nephrology Physician in Fort Worth, TX · enumerated 2006 · practices at Dialysis Associates.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1679517569

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Registry record

Entity type Individual (Type 1)

Name Shane W Kennedy

Credential MD

Sex Male

Practice address 2221 8th Ave, Fort Worth, TX, 76110

Phone (817) 336-5060

Fax (817) 336-1744

Enumeration date Jun 15, 2006

Last updated in NPPES Mar 18, 2021

Taxonomy & licenses

207RN0300X Nephrology Physician Allopathic & Osteopathic Physicians · License L6086 (TX) Primary

MD · Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential

Other identifiers

Identifier	Type	State	Issuer
158632301	Medicaid	TX	-
P00040101	Other	-	MEDICARE RAILROAD
10012357	Other	-	AMERIGROUP
1634611	Other	-	UNISYS
8J5430	Other	TX	BCBS OF TX
7724474	Other	-	AETNA

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Is this the official NPI registry?

No. NPI Portal is a private site built on public CMS NPPES data. The official registry is npiregistry.cms.hhs.gov, operated by CMS.

What specialty is Shane Kennedy?

Shane Kennedy is registered in NPPES with the primary taxonomy of Nephrology Physician. The taxonomy code describes the provider's classification and area of specialization for claims and credentialing.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2021-03-18.