Individual provider Active NPI

Kenneth Howard Joel, MD

  • Pain Medicine (Anesthesiology) Physician
  • Alpharetta, GA
National Provider Identifier
1346236411
Registry record updated Dec 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
027837 Issued in GA
Practice address
3333 Old Milton Pkwy
Alpharetta, GA 30005-4437
Phone
(770) 391-3979
Fax
(770) 391-0020
NPI assigned
Sep 23, 2005
Last updated
Dec 10, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 027837 GA
Pain Medicine (Anesthesiology) Physician 207LP2900X 027837 GA Primary

Addresses

Primary practice location

3333 Old Milton Pkwy
Alpharetta, GA 30005-4437

Mailing address

3333 Old Milton Pkwy Ste 400
Alpharetta, GA 30005-4437
Phone (770) 391-3979

Other identifiers 7

IdentifierTypeStateIssuer
000383556BMedicaidGA
000383556CMedicaidGA
000383556DMedicaidGA
000383556GMedicaidGA
050044306OtherGARAILROAD MEDICARE
000383556EMedicaidGA
000383556FMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20050902000570 GA Practitioner - AnesthesiologyPractitioner - Interventional Pain Management 1355373937 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
AnesthesiologyAlso: Interventional Pain Management
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Pain Physicians of Atlanta LLCGroup PAC ID 4688912934, 3 clinicians
Physiotherapy Associates IncGroup PAC ID 3577470442, shared by 50 NPIs, 1,432 clinicians

Practice addresses (Care Compare)

3333 Old Milton Pkwy
Suite 400
Alpharetta, GA 30005-4626
Phone 7703913979101

488 N Main St
Suite 204
Alpharetta, GA 30009-2386
Phone (770) 619-5801

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
20.43 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
68.09

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pain Physicians Anesthesia, LLC Anesthesiology CurrentSince Apr 1, 2019 Accepting new patients
North Fulton Anesthesia Associates PC Anesthesiology CurrentSince Jan 1, 1998 Accepting new patients
Pain Physicians of Atlanta LLC CurrentSince Feb 8, 2017 Accepting new patients
Pain & Spine Physicians Surgery Center LLC PastSince May 25, 2017 Accepting new patients

Locations

2365 Old Milton Pkwy
Ste 100
Alpharetta, GA 30009
Phone (770) 516-1775

2151 Peachford Rd
Dunwoody, GA 30338
Phone (770) 313-2034

3000 Hospital Blvd
Roswell, GA 30076
Phone (770) 751-2500

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.

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": "1127433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544400000000",
    "number": "1346236411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3333 OLD MILTON PKWY STE 400",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300054437",
            "telephone_number": "770-391-3979",
            "fax_number": "770-391-0020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3333 OLD MILTON PKWY",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300054437",
            "telephone_number": "770-391-3979",
            "fax_number": "770-391-0020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOEL",
        "first_name": "KENNETH",
        "middle_name": "HOWARD",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-23",
        "last_updated": "2018-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "GA",
            "license": "027837",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "GA",
            "license": "027837",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000383556B",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000383556C",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000383556D",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000383556G",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "050044306",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000383556E",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000383556F",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Alpharetta, GA

Sources for this page

Verify at the official NPI Registry.