Organization Active NPI

Kenneth Henschel, MD, LLC

  • Neurology Physician
  • Leesburg, FL
National Provider Identifier
1003371378
Registry record updated Mar 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
Legal business name
KENNETH HENSCHEL, MD, LLC
Practice address
10123 US Highway 441
Leesburg, FL 34788-3952
Phone
(352) 901-6288
NPI assigned
Jan 31, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Miss Helen Choi
Title
Credentialing Coordinator
Phone
(352) 901-6288

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0400X Primary

Addresses

Primary practice location

10123 US Highway 441
Leesburg, FL 34788-3952

Mailing address

10123 US Highway 441
Leesburg, FL 34788-3952
Phone (352) 426-5012

Other identifiers 1

IdentifierTypeStateIssuer
012860100MedicaidFL

Other names 1

  • Kenneth Henschel, MD Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190821004203 FL Part B Supplier - Clinic/Group Practice 2466780960 Receives reassigned benefits from 1 practitioner
Practice locations: Homestead, FL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1548892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1551830400000",
    "number": "1003371378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10123 US HIGHWAY 441",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347883952",
            "telephone_number": "352-426-5012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10123 US HIGHWAY 441",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347883952",
            "telephone_number": "352-901-6288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNETH HENSCHEL, MD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-31",
        "last_updated": "2019-03-06",
        "status": "A",
        "authorized_official_last_name": "CHOI",
        "authorized_official_first_name": "HELEN",
        "authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
        "authorized_official_telephone_number": "352-901-6288",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "012860100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kenneth Henschel, MD",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Kenneth Henschel, MD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Leesburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.