Individual provider Active NPI

Kenneth I Fields, MD

  • Gastroenterology Physician
  • Memphis, TN
National Provider Identifier
1285659383
Registry record updated Aug 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
31333 Issued in TN
Practice address
80 Humphreys Center
Suite 200
Memphis, TN 38120
Phone
(901) 578-2538
Fax
(901) 578-2572
NPI assigned
Jul 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 31333 TN Primary

Addresses

Primary practice location

80 Humphreys Center
Suite 200
Memphis, TN 38120

Mailing address

965 Ridge Lake Blvd Ste 103
Memphis, TN 38120-9446

Other identifiers 4

IdentifierTypeStateIssuer
3124943OtherTNBLUE CROSS OF TENNESSEE
3839852MedicaidTN
05453599MedicaidMS
148888001MedicaidAR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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

Enrollment IDStateProvider typePAC IDDetails
I20110511000418 TN Practitioner - GastroenterologyPractitioner - Internal Medicine 5496750606 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Albert Einstein College of Medicine of Yeshiva University, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gastrointestinal Specialists Foundation, Inc.Group PAC ID 9830334010, 18 clinicians

Practice addresses (Care Compare)

1500 W Poplar Ave
Collierville, TN 38017-0601

1995 Hwy 51 S
Covington, TN 38019-3635
Phone (901) 476-2621

2100 Exeter Rd
Germantown, TN 38138-3966
Phone (901) 757-3424

6019 Walnut Grove Rd
Memphis, TN 38120-2113
Phone (901) 226-4910

6019 Walnut Grove Rd 4
Memphis, TN 38120-2113
Phone (901) 226-0732

80 Humphreys Ctr Dr
Suite 200
Memphis, TN 38120-2352
Phone (901) 761-3900

80 Humphreys Ctr Dr
Suite 210
Memphis, TN 38120-2353
Phone (901) 761-3900

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.28 of 100Reported as group
Quality
90.53
Promoting interoperability
100
Improvement activities
40
Cost
85.42

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy223
Upper gastrointestinal (GI) endoscopy for acid reflux363

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Memorial Medical Group Inc CurrentSince May 7, 2019 Accepting new patients
Baptist Memorial Medical Group Inc CurrentSince May 7, 2019 Accepting new patients
Gastrointestinal Specialists Foundation, Inc Gastroenterology CurrentSince Jan 1, 2013 Accepting new patients

Locations

36 Capital Way
Ste E
Atoka, TN 38004
Phone (901) 837-6801

240 Grandview Dr
Brighton, TN 38011
Phone (901) 475-0678

1500 W Poplar Ave
Ste 206
Collierville, TN 38017
Phone (901) 227-4067

1995 Highway 51 S
Ste 204
Covington, TN 38019
Phone (901) 475-5305

1995 Highway 51 S
Ste 106
Covington, TN 38019
Phone 6153403436 ext. 102

1995 Highway 51 S
Ste 111
Covington, TN 38019
Phone (901) 475-6607

80 Humphreys Center Dr
Ste 200
Memphis, TN 38120
Phone (901) 578-2538

80 Humphreys Center Dr
Ste 202
Memphis, TN 38120
Phone (901) 226-4280

2100 Exeter Rd
Memphis, TN 38138
Phone (901) 757-1350

8970 Winchester Rd
Memphis, TN 38125
Phone (901) 794-5806

965 Ridge Lake Blvd
Ste 103
Memphis, TN 38120
Phone (901) 227-3221

Interoperability endpoints

  • Direct secure messaging: kfields11965@direct.bmhcc.org

Organizations & group practices 3

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 3

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": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566864000000",
    "number": "1285659383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "965 RIDGE LAKE BLVD STE 103",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381209446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 HUMPHREYS CENTER",
            "address_2": "SUITE 200",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "38120",
            "telephone_number": "901-578-2538",
            "fax_number": "901-578-2572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FIELDS",
        "first_name": "KENNETH",
        "middle_name": "I",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2019-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "TN",
            "license": "31333",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF TENNESSEE",
            "identifier": "3124943",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3839852",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05453599",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "148888001",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.