Individual provider Active NPI

Keith R Kuhlengel, MD

  • Neurological Surgery Physician
  • Lancaster, PA
National Provider Identifier
1427045772
Registry record updated Jul 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
MD041565L Issued in PA
Practice address
1671 Crooked Oak Dr
Lancaster Neuroscience & Spine Associates
Lancaster, PA 17601-4207
Phone
(717) 569-5331
Fax
(717) 569-4210
NPI assigned
Oct 3, 2005
Last updated
Jul 10, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2012

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 MD041565L PA Primary

Addresses

Primary practice location

1671 Crooked Oak Dr
Lancaster Neuroscience & Spine Associates
Lancaster, PA 17601-4207

Mailing address

1671 Crooked Oak Dr
Lancaster Neuroscience & Spine Associates
Lancaster, PA 17601-4207
Phone (717) 569-5331

Other identifiers 1

IdentifierTypeStateIssuer
0012163290002MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20101027001262 PA Practitioner - Neurosurgery 9739273731 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD041565LPAMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lancaster General Medical Group CurrentSince Jan 1, 2019 Accepting new patients
Lancaster General Medical Group CurrentSince Jan 1, 2019 Accepting new patients
Lancaster General Medical Group Current Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

1671 Crooked Oak Dr
Lancaster, PA 17601
Phone (717) 569-5331

3045 Marietta Ave
Lancaster, PA 17601
Phone (717) 299-4644

554 N Duke St
Lancaster, PA 17602
Phone (717) 291-5863

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": "1128297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1341878400000",
    "number": "1427045772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1671 CROOKED OAK DR",
            "address_2": "LANCASTER NEUROSCIENCE & SPINE ASSOCIATES",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176014207",
            "telephone_number": "717-569-5331",
            "fax_number": "717-569-4210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1671 CROOKED OAK DR",
            "address_2": "LANCASTER NEUROSCIENCE & SPINE ASSOCIATES",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176014207",
            "telephone_number": "717-569-5331",
            "fax_number": "717-569-4210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUHLENGEL",
        "first_name": "KEITH",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-03",
        "last_updated": "2012-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "PA",
            "license": "MD041565L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0012163290002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, PA

Sources for this page

Verify at the official NPI Registry.