NPIMap

Individual provider Active NPI

Kenneth E Mooney, MD

  • Otolaryngology Physician
  • Akron, OH
National Provider Identifier
1225010168
Registry record updated Dec 31, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
35055364 Issued in OH
Practice address
395 E Market St
Akron, OH 44304-1542
Phone
(330) 762-8959
Fax
(330) 762-9121
NPI assigned
Nov 16, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 35055364 OH Primary

Addresses

Primary practice location

395 E Market St
Akron, OH 44304-1542

Mailing address

395 E Market St
Akron, OH 44304-1542
Phone (330) 762-8959

Other identifiers 1

IdentifierTypeStateIssuer
0666471MedicaidOH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kennethmooney@uhps.allscriptsdirect.net

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
I20091210000165 OH Practitioner - Otolaryngology 2961573472 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Perelman School of Med at the University of Pennsylvania, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

158 W Main Rd
Suite 203
Conneaut, OH 44030-2039
Phone (440) 285-2960

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.15 of 100Reported as apm
Quality
82.31
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University Primary Care Practices Inc CurrentSince Jul 1, 2015 Accepting new patients
University Primary Care Practices Inc CurrentSince Jul 1, 2015 Accepting new patients
University Primary Care Practices Inc Current Accepting new patients
Akron ENT Associates Inc Current Accepting new patients
University Hospitals Medical Group Inc Otolaryngology Past Accepting new patients
University Primary Care Practices Past Accepting new patients

Locations

395 E Market St
Akron, OH 44304
Phone (330) 762-8959

158 W Main Rd
Ste 203
Conneaut, OH 44030
Phone (440) 285-2960

Interoperability endpoints

  • Direct secure messaging: kmooney36991@ehrdirect.uhhospitals.org

Organizations & group practices 6

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.

Hospital & facility affiliations 6

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": "1132099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609372800000",
    "number": "1225010168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "395 E MARKET ST",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443041542",
            "telephone_number": "330-762-8959",
            "fax_number": "330-762-9121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "395 E MARKET ST",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443041542",
            "telephone_number": "330-762-8959",
            "fax_number": "330-762-9121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOONEY",
        "first_name": "KENNETH",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-16",
        "last_updated": "2020-12-31",
        "certification_date": "2020-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "OH",
            "license": "35055364",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0666471",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kennethmooney@uhps.allscriptsdirect.net",
            "affiliation": "N",
            "address_1": "395 E Market St",
            "city": "Akron",
            "state": "OH",
            "country_code": "US",
            "postal_code": "443041542",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Akron, OH

Sources for this page

Verify at the official NPI Registry.