NPIMap

Individual provider Active NPI

Teresa Renee Tenpenny, MD

  • Family Medicine Physician
  • Jackson, OH
National Provider Identifier
1144207499
Registry record updated Mar 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
35.081393 Issued in OH
Practice address
14395 State RT 93
Jackson, OH 45640
Phone
(740) 288-7681
Fax
(740) 288-7683
NPI assigned
Dec 28, 2005
Last updated
Mar 25, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 40537 KY
Family Medicine Physician 207Q00000X 35.081393 OH Primary

Addresses

Primary practice location

14395 State RT 93
Jackson, OH 45640

Mailing address

PO Box 1595
Ashland, KY 41105-1595
Phone (606) 408-6200

Other identifiers 2

IdentifierTypeStateIssuer
2354483MedicaidOH
7100013370MedicaidKY

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061024000539 OH Practitioner - Family Practice 5597762112 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ashland Hospital CorporationGroup PAC ID 7719882521, shared by 6 NPIs, 169 clinicians

Practice addresses (Care Compare)

14395 State Route 93
Jackson, OH 45640-9798
Phone (740) 288-7681

384 County Rd 120
South Point, OH 45680-7807
Phone (740) 894-2080

384 County Rd 120 So
South Point, OH 45680-7807
Phone (740) 894-2080

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.16 of 100Reported as group
Quality
77.42
Promoting interoperability
100
Improvement activities
40
Cost
77.62

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
40537KYMDFamily Medicine Physician
35.081393OHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ashland Hospital Corporation Family Medicine CurrentSince Jan 1, 2008 Accepting new patients
Ashland Hospital Corporation Family Medicine CurrentSince Jan 1, 2008 Accepting new patients

Locations

10650 US Route 60
Ashland, KY 41102
Phone (606) 408-6301

12100 Princeland Spur
Ashland, KY 41102
Phone (606) 928-2963

105A State Highway 1947
Grayson, KY 41143
Phone (606) 474-7892

384 County Road 120 S
South Point, OH 45680
Phone (740) 894-2080

8930 Ohio River Rd
Wheelersburg, OH 45694
Phone (740) 574-1903

Interoperability endpoints

  • Direct secure messaging: ttenpenny1220@direct.kdhealth.us

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 8

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": "1135728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458864000000",
    "number": "1144207499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1595",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "411051595",
            "telephone_number": "606-408-6200",
            "fax_number": "606-408-6612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14395 STATE RT 93",
            "city": "JACKSON",
            "state": "OH",
            "postal_code": "45640",
            "telephone_number": "740-288-7681",
            "fax_number": "740-288-7683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TENPENNY",
        "first_name": "TERESA",
        "middle_name": "RENEE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-28",
        "last_updated": "2016-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "40537",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35.081393",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2354483",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100013370",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, OH

Sources for this page

Verify at the official NPI Registry.