Doctor profile · Federal record
Dr. Kennedy Isaak, PA
Physician Assistant · Saint Louis, MO
- NPI 1871254615
- Accepts Medicare
- 4 yrs in practice
- Female
- Group practice
- No sanctions
Practice & contact
Operates at 2 locations .
- Primary practice
-
621 S New Ballas RD Ste 63B
Saint Louis, MO 631418251
(314) 960-8771 - Additional location
-
12700 Southfork RD Ste 100
Saint Louis, MO 631283201
(314) 251-3500 - Mailing address
-
3 Inwood CT
Saint Peters, MO 633762613
Credentials & registration
- NPI registered
- January 2022 — 4 yrs on file
- Profile last updated
- April 1, 2024
- Year of graduation
- 2022 — 4 yrs since
- Specialty taxonomy
- 363A00000X — NUCC code
- State license (1)
- Missouri #2023014817
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1871254615. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$48
Transactions
2
Manufacturers
2
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Smith+Nephew, INC. | 1 | $34.75 | |
| Elite Orthopedics, LLC | 1 | $13.57 |
By nature of payment
Frequently asked questions
What is Dr. Kennedy Isaak's medical specialty?
Dr. Kennedy Isaak practices Physician Assistant in Saint Louis, MO.
Where does Dr. Kennedy Isaak practice?
Dr. Kennedy Isaak practices at 621 S New Ballas RD Ste 63B, Saint Louis, MO 631418251. Office phone: 3149608771.
What is Dr. Kennedy Isaak's NPI?
Dr. Kennedy Isaak's National Provider Identifier (NPI) is 1871254615, issued by NPPES.
Does Dr. Kennedy Isaak accept Medicare assignment?
Yes. Dr. Kennedy Isaak accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.