Individual provider Active NPI

Timothy Patrick Kenkel, O.D.

  • Optometrist
  • Cincinnati, OH
National Provider Identifier
1164573010
Registry record updated Jul 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3809 Issued in OH
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

Updated by the provider on Jul 17, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101221000031 OH Practitioner - Optometry 3072701846 Receives reassigned benefits from 1 practitioner
Practice locations: Cincinnati, OH

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

LicenseStateTypeSpecialty
3809OHMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

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

Verify at the official NPI Registry.