Kenneth H Fife, M.D.

Primary specialty

Infectious Disease PhysicianTaxonomy code 207RI0200X

License

01030930 Issued in IN

Practice address

61 Sandy Creek Way
Novato, CA 94947-2071

Phone

(317) 457-2214

NPI assigned

Apr 25, 2006

Last updated

Nov 5, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: kfife@direct.iuhealth.org

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.

• Major Hospital

  • General Acute Care Hospital
  • Shelbyville, IN
  • NPI 1174555692
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1145923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541376000000",
    "number": "1497711865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "61 SANDY CREEK WAY",
            "city": "NOVATO",
            "state": "CA",
            "postal_code": "949472071",
            "telephone_number": "317-457-2214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "61 SANDY CREEK WAY",
            "city": "NOVATO",
            "state": "CA",
            "postal_code": "949472071",
            "telephone_number": "317-457-2214"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "545 Barnhill Dr",
            "address_2": "EH 435",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462025112",
            "country_code": "US",
            "telephone_number": "317-274-8114",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FIFE",
        "first_name": "KENNETH",
        "middle_name": "H",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-25",
        "last_updated": "2018-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "CA",
            "license": "G153225",
            "primary": false
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "IN",
            "license": "01030930",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100071630",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alicia Feaster, MTS
• Felga Homecare and Companions Services, Inc (Affordable Solutions Home care of Bay)
• Kerry Robinson Fellows, RN, NP
• Kathy Ficco, RN
• Maya Nayheli Fiel
• Joy Ann Fillman, PHD
• Barbara Finzen, M.D.
• Lula Mae Fisher
• Lorrie Barnett Fissenden, MSOM, L.AC.
• Carmela R. Floro, LMFT

• Infectious Disease Physician in Novato, CA
• Providers in Novato, CA by specialty
• Infectious Disease Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2018; 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.