Doctor profile · Federal record

Dr. TIMOTHY KENNEDY, MD

Urology Physician · GREEN BAY, WI

  • NPI 1417985631
  • 20 yrs on file
  • Male
  • Group practice
  • No sanctions

Practice & contact

NPPES Updated May 11, 2026
Primary practice
2845 GREENBRIER RD STE 240
GREEN BAY, WI 543116519
(920) 288-8280
fax (920) 288-8285
Mailing address
2034 SHADY LN
GREEN BAY, WI 543139313

Credentials & registration

NPPES · NUCC
NPI registered
June 2006 — 20 yrs on file
Profile last updated
June 1, 2021
Specialty taxonomy
208800000X — NUCC code
State license (1)
Wisconsin #29987
Medicaid (3)
MI #104386126 · WI #31501900 · MI #104386153

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1417985631. Last verified May 11, 2026.

Open Payments

Industry payments received

CMS Open Payments
All-time total
$454
Transactions
3
Manufacturers
1
Payer (manufacturer) Industry Txns Amount
INTUITIVE SURGICAL, INC. 3 $453.81

By nature of payment

Travel and Lodging
$454

Methodology · sources used on this page

All figures on this page come from publicly available federal datasets. We do not edit, score, or summarise the underlying data. Profile generated May 19, 2026.

NPPES Provider identifiers and practice info May 11, 2026
Open Payments Industry payments to providers (Sunshine Act) May 11, 2026
Medicare Procedure Utilization Services and allowed amounts by HCPCS May 11, 2026
Medicare Part D Prescription drug claims May 11, 2026
CMS MIPS Quality performance scores May 11, 2026
OIG LEIE Federal exclusion / sanctions list May 11, 2026

Information based on publicly available federal data. Not medical advice. Report incorrect data ›