Kenneth William Defontes III, M.D.

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

D0084939 Issued in MD

Practice address

8322 Bellona Ave Ste 100
Towson, MD 21204

Phone

(410) 337-7900

Fax

(410) 337-5321

NPI assigned

Jun 22, 2011

Last updated

Aug 1, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MD

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

Specialty

Orthopedic Surgery

Education

Johns Hopkins University School of Medicine, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Agape Physical Therapy and Sports Rehabilitation LPGroup PAC ID 3870741390, 684 clinicians

University of Maryland St. Joseph Orthopaedics, LLCGroup PAC ID 0941455794, 36 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• University of MD St Joseph Medical Center Hospital, Towson, MD, CCN 210063

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kdefontes451861@direct.umm.edu
• Direct secure messaging: kennethdefontes@towsonorth.allscriptsdirect.net

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

• University of Maryland St. Joseph Orthopaedics, LLC

  dba Towson Orthopaedic Associates

  • Orthopaedic Surgery Physician
  • Towson, MD
  • NPI 1982950846
  Medicare reassignment Care Compare group NPD
• Agape Physical Therapy & Sports Rehabilitation LP

  • Physical Therapist
  • Forest Hill, MD
  • NPI 1578900668
  Care Compare group
• University of Maryland St. Joseph Orthopaedics, LLC

  dba Ruxton Orthotics & Medical Supplies

  • Durable Medical Equipment & Medical Supplies
  • Towson, MD
  • NPI 1972157295
  NPD
• Frederick Health Hospital Inc

  dba Frederick Health Hospital

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)

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

• University of Maryland St. Joseph Medical Center, LLC

  dba University of Maryland St. Joseph Medical Center

  • General Acute Care Hospital
  • Towson, MD
  • NPI 1124374079
  Care Compare affiliation

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

{
    "created_epoch": "1308700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533081600000",
    "number": "1134415706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8322 BELLONA AVE STE 100",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212042065",
            "telephone_number": "410-337-7900",
            "fax_number": "410-337-5321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8322 BELLONA AVE STE 100",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "21204",
            "telephone_number": "410-337-7900",
            "fax_number": "410-337-5321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEFONTES",
        "first_name": "KENNETH",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-22",
        "last_updated": "2018-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XX0004X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Foot and Ankle Surgery",
            "state": "MD",
            "license": "D0084939",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MD",
            "license": "D0084939",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MARYLAND LICENSE",
            "identifier": "D0084939",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tyra Joy Decarlo, PHD
• Anna Cresta Ibanez Decena-Trinidad, PMHNP
• Hunter Anthony Decesare, ATS
• Alison Faye Decker, M.D.
• Fidelis Caroline Define, MD
• Megan Dehaven, MS, LAT, ATC
• Eve Del Monte, LPC
• Tori Luise Delaney
• Terri S Delay, PHD
• Lori Delcher

• Orthopaedic Surgery Physician in Towson, MD
• Providers in Towson, MD by specialty
• Orthopaedic Surgery Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2018; 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.

Verify at the official NPI Registry.