Individual provider Active NPI

Kenneth Nekl, MD

  • Internal Medicine Physician
  • N Royalton, OH
National Provider Identifier
1336239029
Registry record updated Jan 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35059288N Issued in OH
Practice address
14200 Ridge Rd
N Royalton, OH 44133-4972
Phone
(216) 383-0100
Fax
(216) 383-6481
NPI assigned
Oct 13, 2006
Last updated
Jan 12, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 35059288N OH Primary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 35059288 OH

Addresses

Primary practice location

14200 Ridge Rd
N Royalton, OH 44133-4972

Mailing address

PO Box 74634
Cleveland, OH 44194-0717
Phone (440) 582-9600

Electronic endpoints 5

TypeEndpointUseAffiliation
Direct Messaging Address kennethnekl@uhps.allscripts.net
Direct Messaging Address kennethnekl@uhps.allscripts.net Health Information Exchange (HIE)
Direct Messaging Address kennethnekl@uhps.allscriptsdirect.net Health Information Exchange (HIE)
Direct Messaging Address kennethnekl@uhps.allscripts.net
Direct Messaging Address kennethnekl@uhps.allscriptsdirect.net

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
35059288NOHMDInternal Medicine Physician
35059288OHMDEndocrinology, Diabetes & Metabolism Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Primary Care Practices Internal Medicine Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: knekl@direct.swgeneral.com
  • Direct secure messaging: knekl37404@ehrdirect.uhhospitals.org

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, 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": "1160697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610409600000",
    "number": "1336239029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 74634",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441940717",
            "telephone_number": "440-582-9600",
            "fax_number": "440-582-5492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14200 RIDGE RD",
            "city": "N ROYALTON",
            "state": "OH",
            "postal_code": "441334972",
            "telephone_number": "216-383-0100",
            "fax_number": "216-383-6481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEKL",
        "first_name": "KENNETH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-13",
        "last_updated": "2021-01-12",
        "certification_date": "2021-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35059288N",
            "primary": true
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "OH",
            "license": "35059288",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kennethnekl@uhps.allscripts.net",
            "affiliation": "N",
            "address_1": "14200 Ridge Rd",
            "city": "N Royalton",
            "state": "OH",
            "country_code": "US",
            "postal_code": "441334972",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kennethnekl@uhps.allscripts.net",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "14200 Ridge Rd",
            "city": "N Royalton",
            "state": "OH",
            "country_code": "US",
            "postal_code": "441334972",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kennethnekl@uhps.allscriptsdirect.net",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "14200 Ridge Rd",
            "city": "N Royalton",
            "state": "OH",
            "country_code": "US",
            "postal_code": "441334972",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kennethnekl@uhps.allscripts.net",
            "affiliation": "N",
            "address_1": "14200 Ridge Rd",
            "city": "N Royalton",
            "state": "OH",
            "country_code": "US",
            "postal_code": "441334972",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kennethnekl@uhps.allscriptsdirect.net",
            "affiliation": "N",
            "address_1": "14200 Ridge Rd",
            "city": "N Royalton",
            "state": "OH",
            "country_code": "US",
            "postal_code": "441334972",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in N Royalton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2021; 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.