Individual provider Active NPI

Dean D Kindler, MD

  • Neurology Physician
  • Macon, GA
National Provider Identifier
1053381608
Registry record updated Feb 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
4301086230 Issued in MI
Practice address
777 Hemlock St
Macon, GA 31201
Phone
(478) 633-1000
NPI assigned
Jan 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Neurology Physician 2084V0102X 84265 GA
Neurology Physician 2084N0400X 4301086230 MI Primary

Addresses

Primary practice location

777 Hemlock St
Macon, GA 31201

Mailing address

2490 Riverside Dr Ste B
Macon, GA 31204-1787
Phone (478) 633-6644

Other practice location 1

777 Hemlock St
Macon, GA 31201
Phone (478) 633-1000

Other practice location 2

777 Hemlock St
Macon, GA 31201-2102
Phone (478) 633-1000

Other identifiers 2

IdentifierTypeStateIssuer
4749625MedicaidMI
CA2184OtherMIRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, OK2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20050815000934 MI Practitioner - Neurology 7214924885 Reassigns benefits to 1 organization
I20260101000037 OK Practitioner - Neurology 7214924885 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
University of Virginia School of Medicine, 1995
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1923 S Utica Ave
Tulsa, OK 74104-6520

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301086230MIMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Promed Healthcare CurrentSince Nov 8, 2021 Accepting new patients
Ascension Medical Group Promed CurrentSince Nov 8, 2021 Accepting new patients
St. John Physicians, Inc CurrentSince Jan 4, 2026 Accepting new patients
Ascension Medical Group Promed Current Accepting new patients
St. John Physicians, Inc. Neurology Past Accepting new patients

Locations

570 Linn St
Allegan, MI 49010
Phone (269) 686-4275

3035 Capital Ave SW
Battle Creek, MI 49015
Phone (269) 565-9100

1541 Gull Rd
Kalamazoo, MI 49048
Phone (269) 343-1264

1541 Gull Rd
Ste 100
Kalamazoo, MI 49048
Phone (269) 226-5290

215 E Mansion St
Marshall, MI 49068
Phone (269) 789-3940

7901 Angling Rd
Portage, MI 49024
Phone (269) 324-8405

711 S Health Parkway
Three Rivers, MI 49093
Phone (269) 273-9691

1705 E 19th St
Ste 302
Tulsa, OK 74104
Phone (918) 748-7585

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.

NPI Registry JSON

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

{
    "created_epoch": "1138147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644537600000",
    "number": "1053381608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2490 RIVERSIDE DR STE B",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312041787",
            "telephone_number": "478-633-6644",
            "fax_number": "478-633-4295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 HEMLOCK ST",
            "city": "MACON",
            "state": "GA",
            "postal_code": "31201",
            "telephone_number": "478-633-1000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "777 Hemlock St",
            "address_purpose": "LOCATION",
            "city": "Macon",
            "state": "GA",
            "postal_code": "31201",
            "country_code": "US",
            "telephone_number": "478-633-1000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "777 Hemlock St",
            "address_purpose": "LOCATION",
            "city": "Macon",
            "state": "GA",
            "postal_code": "312012102",
            "country_code": "US",
            "telephone_number": "478-633-1000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KINDLER",
        "first_name": "DEAN",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-25",
        "last_updated": "2022-02-11",
        "certification_date": "2022-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084V0102X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Vascular Neurology",
            "state": "GA",
            "license": "84265",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MI",
            "license": "4301086230",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4749625",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CA2184",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Macon, GA

Sources for this page

Verify at the official NPI Registry.