Individual provider Active NPI

Katherine L Arenz, D.O.

  • Family Medicine Physician
  • Paducah, KY
National Provider Identifier
1043460751
Registry record updated May 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2685 Issued in TN
Practice address
2501 Kentucky Ave
Paducah, KY 42003-3813
Phone
(270) 885-1212
NPI assigned
Sep 30, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 20, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 03547 KY
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X 2685 TN Primary
Family Medicine Physician 207Q00000X 2498 WV

Addresses

Primary practice location

2501 Kentucky Ave
Paducah, KY 42003-3813

Mailing address

1000 Highway 76
Clarksville, TN 37043-8405
Phone (330) 687-3998

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MP
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240628001145 MP Practitioner - Family Practice 4587836986 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
West Virginia School of Osteopathic Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Commonwealth Healthcare Corporation 79 clinicians

Practice addresses (Care Compare)

1 Lower Navy Hill Rd
Saipan, MP 96950
Phone (670) 234-8950

1 Lower Navy Hill Rd
Saipan, MP 96950-0409

PO Box
Saipan, MP 96950

Hospital & facility affiliations

  • Commonwealth Health Center Hospital, Garapan, MP, CCN 660001

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
2498WVMDFamily Medicine Physician
2685TNMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Commonwealth Healthcare Corporation Multi-Specialty Current Accepting new patients
Commonwealth Healthcare Corporation CurrentSince May 4, 2024 Accepting new patients
Commonwealth Healthcare Corporation CurrentSince May 4, 2024 Accepting new patients
River Valley Emergency Physicians, Inc Multi-Specialty Past Accepting new patients
First Capital Emergency Physicians PLLC Multi-Specialty Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: klarenz@yourcarecommunity.org

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1222732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621468800000",
    "number": "1043460751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 HIGHWAY 76",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370438405",
            "telephone_number": "330-687-3998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 KENTUCKY AVE",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420033813",
            "telephone_number": "270-885-1212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARENZ",
        "first_name": "KATHERINE",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-09-30",
        "last_updated": "2021-05-20",
        "certification_date": "2021-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "KY",
            "license": "03547",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "2685",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WV",
            "license": "2498",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paducah, KY

Sources for this page

Verify at the official NPI Registry.