Individual provider Active NPI

Kevin Carl Gengel, M.D.

  • Diagnostic Radiology Physician
  • Durham, NC
National Provider Identifier
1053842278
Registry record updated Jul 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
2021-01151 Issued in NC
Practice address
2301 Erwin Rd
Durham, NC 27710-4330
Phone
(919) 684-1111
NPI assigned
Mar 21, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Diagnostic Radiology Physician 2085R0202X 2021-01151 NC Primary

Addresses

Primary practice location

2301 Erwin Rd
Durham, NC 27710-4330

Mailing address

2504 Magnolia Tree LN
Durham, NC 27703-6421
Phone (402) 639-0955

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE, IA2 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
I20230707001691 NE Practitioner - Diagnostic Radiology 1355729625 Reassigns benefits to 2 organizations
I20230707001967 IA Practitioner - Diagnostic Radiology 1355729625 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Nebraska College of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Radiology Consultants PCGroup PAC ID 8325947799, 45 clinicians

Practice addresses (Care Compare)

7500 Mercy Rd
Omaha, NE 68124-2319
Phone (402) 398-5890

800 Mercy Dr
Council Bluffs, IA 51503-3128
Phone (712) 328-5100

Hospital & facility affiliations

  • CHI Health Bergan Mercy Hospital, Omaha, NE, CCN 280060
  • CHI Health Lakeside Hospital, Omaha, NE, CCN 280130
  • CHI Health Immanuel Hospital, Omaha, NE, CCN 280081
  • CHI Health St. Elizabeth Hospital, Lincoln, NE, CCN 280020
  • Cass County Memorial Hospital Hospital, Atlantic, IA, CCN 161376

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2021-01151NCMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Radiology Consultants PC Diagnostic Radiology CurrentSince Aug 1, 2023 Accepting new patients
Think Aksarben, LLC CurrentSince Aug 1, 2023 Accepting new patients

Locations

800 Mercy Dr
Council Bluffs, IA 51503
Phone (712) 328-5000

810 N 22nd St
Blair, NE 68008
Phone (402) 426-1116

14040 Boys Town Hospital Rd
Boys Town, NE 68010
Phone (402) 778-6800

7500 Mercy Rd
Omaha, NE 68124
Phone (402) 398-5880

6901 N 72nd St
Omaha, NE 68122
Phone (402) 572-2121

14441 DuPont Ct
Ste 304
Omaha, NE 68144
Phone (402) 597-8775

7100 W Center Rd
Omaha, NE 68106
Phone (402) 506-9000

1760 County Road J
Wahoo, NE 68066
Phone (402) 443-4191

Interoperability endpoints

  • Direct secure messaging: kgengel402532@direct.medicine.duke.edu

Organizations & group practices 2

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 6

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": "1490054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658793600000",
    "number": "1053842278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2504 MAGNOLIA TREE LN",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277036421",
            "telephone_number": "402-639-0955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 ERWIN RD",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277104330",
            "telephone_number": "919-684-1111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GENGEL",
        "first_name": "KEVIN",
        "middle_name": "CARL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-21",
        "last_updated": "2022-07-26",
        "certification_date": "2022-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NC",
            "license": "2021-01151",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

Verify at the official NPI Registry.