Active NPI
Kevin Carl Gengel, M.D.
- Diagnostic Radiology Physician
- Durham, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 2021-01151
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, IA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
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
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
- CHI Health Lakeside
- CHI Health Immanuel
- CHI Health St. Elizabeth
- Cass County Memorial Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2021-01151 | NC | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Radiology Consultants PC | Diagnostic Radiology | Current | Accepting new patients |
| Think Aksarben, LLC | Current | 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
- 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.
-
- Multi-Specialty Clinic/Center
- Omaha, NE
- NPI 1316357676
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Omaha, NE
- NPI 1649355132
-
- Psychiatric Hospital Unit
- Omaha, NE
- NPI 1396969499
-
- General Acute Care Hospital
- Omaha, NE
- NPI 1508941097
-
- General Acute Care Hospital
- Omaha, NE
- NPI 1912085184
-
- Critical Access Hospital
- Atlantic, IA
- NPI 1093760944
-
- General Acute Care Hospital
- Lincoln, NE
- NPI 1336155738
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.