NPIMap

Individual provider Active NPI

Kenneth L. Renkens Jr., M.D.

  • Neurological Surgery Physician
  • Carmel, IN
National Provider Identifier
1235234675
Registry record updated May 31, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
01037463A Issued in IN
Practice address
13225 N Meridian St
Carmel, IN 46032-5480
Phone
(317) 228-7000
Fax
(317) 228-2321
NPI assigned
Sep 13, 2006
Last updated
May 31, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 31, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X 01037463A IN Primary

Addresses

Primary practice location

13225 N Meridian St
Carmel, IN 46032-5480

Mailing address

13225 N Meridian St
Carmel, IN 46032-5480
Phone (317) 228-7000

Other identifiers 7

IdentifierTypeStateIssuer
000000214072OtherINANTHEM PROVIDER NUMBER
366735000OtherINUS DEPT. OF LABOR
140007814OtherINMEDICARE RAILROAD
000000214072OtherINUNICARE PROVIDER NUMBER
0569464OtherINCIGNA
366735000OtherINUS POSTAL SERVICE WORKERS
000000011598OtherINM-PLAN PROVIDER NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01037463AINMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Major Hospital Past Accepting new patients
Indiana Spine Group, PC Neurological Surgery Past Accepting new patients
Indiana Spine Group, PC Past Accepting new patients
Indiana Spine Group, PC Past Accepting new patients

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464652800000",
    "number": "1235234675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13225 N MERIDIAN ST",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460325480",
            "telephone_number": "317-228-7000",
            "fax_number": "317-228-2321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13225 N MERIDIAN ST",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460325480",
            "telephone_number": "317-228-7000",
            "fax_number": "317-228-2321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RENKENS",
        "first_name": "KENNETH",
        "middle_name": "L.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-13",
        "last_updated": "2016-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "IN",
            "license": "01037463A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM PROVIDER NUMBER",
            "identifier": "000000214072",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "US DEPT. OF LABOR",
            "identifier": "366735000",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "140007814",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNICARE PROVIDER NUMBER",
            "identifier": "000000214072",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "0569464",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "US POSTAL SERVICE WORKERS",
            "identifier": "366735000",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "M-PLAN PROVIDER NUMBER",
            "identifier": "000000011598",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Carmel, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.