Abhay G Kemkar, MD
Individual provider Active NPI Internal Medicine Physician · Sparta, TN
NPI 1346312477 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1346312477
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- MD0000031440 (TN)
- Practice address
- 441 Sewell Rd
Sparta, TN 38583 - Phone
- (931) 837-9048
- Fax
- (931) 837-9571
- NPI assigned
- Nov 14, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120125000137 | TN | Practitioner - Internal Medicine | 9830366343 |
Reassigns benefits to 1 organization Receives reassigned benefits from 1 practitioner Practice locations: Sparta, TN |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD0000031440 | TN | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cookeville Medical Center PC | Current |
Accepting new patients | |
| Abhay G Kemkar MD | Past |
Accepting new patients |
Locations
225 N Willow Ave
Cookeville, TN 38501
Phone (931) 372-8227
Interoperability endpoints
- hmcjeq9008@yourcarecommunity.org
- abhaykemkar@agkmd.allscriptsdirect.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MD0000031440 | TN | Yes |
Addresses
Primary practice location
441 Sewell Rd
Sparta, TN 38583
Mailing address
441 Sewell Rd
Sparta, TN 38583
Phone (931) 837-9048
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3845655 | Medicaid | TN |
Other providers in Sparta, TN
- Daphne Jeanette Jordan
- Joseph Marc Ross D.D.S., P.L.L.C.
- JTP Enterprises, LLC
- Stylianos A Kakoullis
- Zachary Ethan Keel
- Mina Magdy Fikry Khalil
- Molly Ann Kimmell
- James Brian King
- Marcie Marie Kinnard
- Elizabeth Ann Kirby
All providers in Sparta, TN · Internal Medicine Physician in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.