Active NPI
Kenneth Michael Homolya Jr., M.D.
- Pain Medicine (Anesthesiology) Physician
- Brentwood, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Anesthesiology) Physician
- License
- 45952
- Practice address
- 330 Franklin Rd
Suite 135a #295
Brentwood, TN 37027-3280 - Phone
- (615) 431-5484
- Fax
- (615) 447-5959
- NPI assigned
- Feb 13, 2007
- Last updated
- Oct 19, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | 45952 | TN | Primary |
Addresses
Primary practice location
330 Franklin Rd
Suite 135a #295
Brentwood, TN 37027-3280
Mailing address
625 Johnny Cash Blvd
Ste 3
Hendersonville, TN 37075-2602
Phone (615) 431-5484
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pain Management
- Education
- University of Toledo College of Medicine, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
625 E Main St
Suite 3
Hendersonville, TN 37075-2602
Phone (615) 431-5484
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ken Homolya, MD, LLC | Pain Medicine | Current | Accepting new patients |
| Ken Homolya MD LLC | Current | Accepting new patients | |
| Dunn Clinic | Past | Accepting new patients | |
| University Anesthesiology Associates PSC | Pain Medicine | Past | Accepting new patients |
Locations
406 N Whitney Ave
Ste 2
Cookeville, TN 38501
Phone (931) 372-1799
545 E Spring St
Cookeville, TN 38501
Phone (931) 372-1799
929 W Jackson St
Ste A
Cookeville, TN 38501
Phone (931) 372-1799
103 Hazel Path
Ste 7
Hendersonville, TN 37075
Phone (615) 431-5484
625 Johnny Cash Blvd
Ste 3
Hendersonvlle, TN 37075
Phone (615) 431-5484
5114 Old Hickory Blvd
Ste 201
Hermitage, TN 37076
Phone (615) 431-5484
Organizations & group practices 7
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.
-
- Pain Medicine Physician
- Hendersonville, TN
- NPI 1619266814
-
- Pain Medicine (Anesthesiology) Physician
- Nashville, TN
- NPI 1295209534
-
dba Integrity Pain Consultants
- Pain Medicine (Anesthesiology) Physician
- Nashville, TN
- NPI 1316449903
-
dba Integrity Pain Consultants
- Pain Medicine (Anesthesiology) Physician
- Hermitage, TN
- NPI 1447769641
-
dba Integrity Pain Consultants
- Pain Medicine (Anesthesiology) Physician
- Cookeville, TN
- NPI 1770940249
-
- Chiropractor
- Nashville, TN
- NPI 1427328483
-
- Anesthesiology Physician
- Louisville, KY
- NPI 1578516852
Pain Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171324800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603065600000",
"number": "1548302789",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "625 JOHNNY CASH BLVD",
"address_2": "STE 3",
"city": "HENDERSONVILLE",
"state": "TN",
"postal_code": "370752602",
"telephone_number": "615-431-5484",
"fax_number": "615-447-5959"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "330 FRANKLIN RD",
"address_2": "SUITE 135A #295",
"city": "BRENTWOOD",
"state": "TN",
"postal_code": "370273280",
"telephone_number": "615-431-5484",
"fax_number": "615-447-5959"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOMOLYA",
"first_name": "KENNETH",
"middle_name": "MICHAEL",
"name_suffix": "Jr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-13",
"last_updated": "2020-10-19",
"certification_date": "2020-10-19",
"status": "A"
},
"taxonomies": [
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "TN",
"license": "45952",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brentwood, TN
- Home Care Preference
- Home Care Preference Dba Mind Haven Therapy & Wellness (Mind Haven Therapy & Wellness)
- Home Health Care Services LLC
- Home Health Care Services LLC (The Heritage Clinic)
- Home With Hope, Inc.
- Thomas Andrew Homonnay, DDS
- Haley Hood
- Nicole Hood
- Dawn Leigh Hook, LMSW
- Elisabeth Marie Hoover
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.