Individual provider Active NPI

Mark G. Kehres, M.D.

  • Occupational Medicine Physician
  • Cincinnati, OH
National Provider Identifier
1548388341
Registry record updated Oct 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Medicine PhysicianTaxonomy code 2083X0100X
License
059518 Issued in OH
Practice address
4623 Wesley Ave
Suite C
Cincinnati, OH 45212-2246
Phone
(513) 608-7054
Fax
(513) 297-9017
NPI assigned
Mar 27, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Medicine Physician 2083X0100X 059518 OH Primary

Addresses

Primary practice location

4623 Wesley Ave
Suite C
Cincinnati, OH 45212-2246

Mailing address

5080 Spectrum Dr
Suite 1200 West
Addison, TX 75001-4648
Phone (972) 364-8000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, KY, IN3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20091006000689 OH Practitioner - Preventive Medicine 1153467022 Reassigns benefits to 1 organization
I20120510000231 KY Practitioner - Preventive Medicine 1153467022 Reassigns benefits to 1 organization
I20131210000266 IN Practitioner - Preventive Medicine 1153467022 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
059518OHMDOccupational Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
American Current Care PA CurrentSince Sep 3, 2013 Accepting new patients
American Current Care of Ohio PA Co CurrentSince Apr 6, 2011 Accepting new patients
American Current Care PA CurrentSince Sep 15, 2013 Accepting new patients
American Current Care P.a. CurrentSince Sep 3, 2013 Accepting new patients

Locations

6423 Columbia Ave
Ste A
Hammond, IN 46320
Phone (219) 937-3632

5604 W 74th St
Indianapolis, IN 46278
Phone (317) 290-1551

1825 Airport Exchange Blvd
Ste 100
Erlanger, KY 41018
Phone (859) 647-6228

1498 Boardwalk
Lexington, KY 40511
Phone (859) 254-5520

4660 Hinckley Industrial Pkwy
Cleveland, OH 44109
Phone (216) 749-2730

1435 Cincinnati St
Ste 100
Dayton, OH 45417
Phone (937) 449-0800

7010 Spring Mdws W
Ste 101A
Holland, OH 43528
Phone (419) 865-4448

4623 Wesley Ave
Ste C
Norwood, OH 45212
Phone (513) 841-1122

7730 First Pl
Ste D
Oakwood Vlg, OH 44146
Phone (440) 735-0438

2884 E Kemper Rd
Sharonville, OH 45241
Phone (513) 771-2233

5080 Spectrum Dr
Ste 1200W
Addison, TX 75001

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.

NPI Registry JSON

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380585600000",
    "number": "1548388341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5080 SPECTRUM DR",
            "address_2": "SUITE 1200 WEST",
            "city": "ADDISON",
            "state": "TX",
            "postal_code": "750014648",
            "telephone_number": "972-364-8000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4623 WESLEY AVE",
            "address_2": "SUITE C",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452122246",
            "telephone_number": "513-608-7054",
            "fax_number": "513-297-9017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEHRES",
        "first_name": "MARK",
        "middle_name": "G.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-27",
        "last_updated": "2013-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "OH",
            "license": "059518",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.