Emerson Kendall, DO

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

81140 Issued in WI

Practice address

525 E Main St Apt 306
Madison, WI 53703-2905

Phone

(616) 560-4730

NPI assigned

Jun 4, 2019

Sex

Male

Sole proprietor

Yes

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 CO

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

Ophthalmology

Education

West Virginia School of Osteopathic Medicine, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

James Lee MD PCGroup PAC ID 2264533892, 8 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Arkansas Valley Regional Medical Center Hospital, Lajuna, CO, CCN 061336
• Lincoln Health Hospital Hospital, Hugo, CO, CCN 061306

Merit-based Incentive Payment System (MIPS)

Final score

83.32 of 100Reported as group

Quality

87.78

Promoting interoperability

77

Improvement activities

40

Cost

75.8

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

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.

• James Lee MD PC

  dba Lee Eye Institute

  • Ophthalmology Physician
  • Colorado Springs, CO
  • NPI 1144427899

  Single Specialty

  Medicare reassignment Care Compare group NPD

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

• Arkansas Valley Regional Medical Center

  • Critical Access Hospital
  • La Junta, CO
  • NPI 1760489470
  Care Compare affiliation
• Lincoln Community Hospital

  • Critical Access Hospital
  • Hugo, CO
  • NPI 1720107519
  Care Compare affiliation

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

{
    "created_epoch": "1559606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720742400000",
    "number": "1184282048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 E MAIN ST APT 306",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537032905",
            "telephone_number": "616-560-4730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 E MAIN ST APT 306",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537032905",
            "telephone_number": "616-560-4730"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18101 Oakwood Blvd",
            "address_purpose": "LOCATION",
            "city": "Dearborn",
            "state": "MI",
            "postal_code": "481244089",
            "country_code": "US",
            "telephone_number": "616-560-4730",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KENDALL",
        "first_name": "EMERSON",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-06-04",
        "last_updated": "2024-07-12",
        "certification_date": "2024-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "MI",
            "license": "5151013622",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "WI",
            "license": "81140",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5151013622",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Octavia C Kemps, LCSW
• Steven J Kempton, M.D.
• Aria Kenarsary, MD
• Michelle L Kenas
• Cameron Richardson Kendall, M.D.
• Kelly Kendricks
• Alexander Kendziorski, MD
• Jordan Steel Kenik, M.D.
• Abdul Munem Kenj Halabi, MD
• Dima Kenj Halabi, MD

• Ophthalmology Physician in Madison, WI
• Providers in Madison, WI by specialty
• Ophthalmology Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2024; 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.