Active NPI
Timothy Patrick Kenkel, O.D.
- Optometrist
- Cincinnati, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 3809
- Practice address
- 11700 Princeton Pike Suite F11
Cincinnati, OH 45246-2535 - Phone
- (513) 671-5020
- NPI assigned
- Jan 16, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 3809 | OH | Primary |
Addresses
Primary practice location
11700 Princeton Pike Suite F11
Cincinnati, OH 45246-2535
Mailing address
11700 Princeton Pike
Unit F11
Cincinnati, OH 45246-2598
Phone (513) 671-1195
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Ohio State University - College of Optometry, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
6026 Glenway Ave
Cincinnati, OH 45211-6318
Phone (513) 661-4450
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3809 | OH | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr. Timothy P. Kenkel & Associates Inc | Optometrist | Current | Accepting new patients |
Locations
6026 Glenway Ave
Cincinnati, OH 45211
Phone (513) 661-2344
11700 Princeton Pike
Ste F11
Cincinnati, OH 45246
Phone (513) 671-5020
11700 Princeton Pike
Cincinnati, OH 45246
Phone (513) 671-5020
11700 Princeton Pike
Unit F11
Cincinnati, OH 45246
730 Forest Fair Dr
Cincinnati, OH 45240
Phone (513) 671-0180
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Cincinnati, OH
- NPI 1588620801
Organizations & group practices 1
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.
-
- Optometrist
- Cincinnati, OH
- NPI 1487308003
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168905600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1563321600000",
"number": "1164573010",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11700 PRINCETON PIKE",
"address_2": "UNIT F11",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452462598",
"telephone_number": "513-671-1195",
"fax_number": "513-671-1197"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11700 PRINCETON PIKE SUITE F11",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452462535",
"telephone_number": "513-671-5020"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KENKEL",
"first_name": "TIMOTHY",
"middle_name": "PATRICK",
"name_prefix": "Mr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-16",
"last_updated": "2019-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "OH",
"license": "3809",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cincinnati, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2019; 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.