NPIMap

Individual provider Active NPI

Kellene M. Lenz, M.D.

  • Family Medicine Physician
  • Cincinnati, OH
National Provider Identifier
1457398398
Registry record updated Sep 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
35069309 Issued in OH
Practice address
3301 Mercy Health Boulevard
Suite 340
Cincinnati, OH 45211-1112
Phone
(513) 981-5922
Fax
(513) 385-6430
NPI assigned
May 31, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 35069309 OH Primary

Addresses

Primary practice location

3301 Mercy Health Boulevard
Suite 340
Cincinnati, OH 45211-1112

Mailing address

3301 Mercy Health Boulevard
Suite 340
Cincinnati, OH 45211-1112
Phone (513) 981-5922

Other identifiers 2

IdentifierTypeStateIssuer
P00919628OtherOHMEDICARE RR
2036648MedicaidOH

Other names 1

  • Kellene M McMannon Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060208000887 OH Practitioner - Family Practice 7012922206 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Cincinnati College of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mercy Health Physicians Cincinnati LLCGroup PAC ID 6709790892, 191 clinicians

Practice addresses (Care Compare)

2446 Kipling Ave
Cincinnati, OH 45239-6650
Phone (513) 583-8500

3301 Mercy Health Blvd
Suite 340
Cincinnati, OH 45211-1112
Phone (513) 981-5922

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35069309OHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Health Physicians Cincinnati LLC CurrentSince Feb 1, 2011 Accepting new patients
Mercy Health Physicians Cincinnati, LLC Family Medicine CurrentSince Feb 1, 2011 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Greater Cincinnati Associated Physicians, Inc Family Medicine Past Accepting new patients

Locations

1701 Mercy Health Pl
Ofc
Cincinnati, OH 45237

3301 Mercy Health Blvd
Ste 340
Cincinnati, OH 45211
Phone (513) 686-2663

2446 Kipling Ave
Cincinnati, OH 45239
Phone (513) 583-8500

2859 Boudinot Ave
Ste 107
Cincinnati, OH 45238
Phone (513) 389-3105

5575 Cheviot Rd
Cincinnati, OH 45247
Phone (513) 385-3113

3301 Mercy Health Blvd
Ste 3
Cincinnati, OH 45211

6350 Cheviot Rd
Cincinnati, OH 45247
Phone (513) 741-1414

1380 Compton Rd
Mount Healthy, OH 45231
Phone (513) 931-0083

Interoperability endpoints

  • Direct secure messaging: klenz26419@direct.bsmhealth.org

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 and National Provider Directory roles.

Hospital & facility affiliations 11

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": "1149033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537920000000",
    "number": "1457398398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3301 MERCY HEALTH BOULEVARD",
            "address_2": "SUITE 340",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452111112",
            "telephone_number": "513-981-5922",
            "fax_number": "513-385-6430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3301 MERCY HEALTH BOULEVARD",
            "address_2": "SUITE 340",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452111112",
            "telephone_number": "513-981-5922",
            "fax_number": "513-385-6430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LENZ",
        "first_name": "KELLENE",
        "middle_name": "M.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-31",
        "last_updated": "2018-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35069309",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RR",
            "identifier": "P00919628",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2036648",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELLENE",
            "last_name": "MCMANNON",
            "middle_name": "M",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.