Kevin Kendzierski, M.D.

Primary specialty

Addiction Medicine (Family Medicine) PhysicianTaxonomy code 207QA0401X

License

35.080641 Issued in OH

Practice address

3440 Island Ave
Toledo, OH 43614

Phone

(419) 340-1289

Fax

(419) 972-4203

NPI assigned

Dec 13, 2005

Last updated

Aug 29, 2018By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 6

Medicare fee-for-service enrollment

Enrolled in OH, MI2 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 2

Specialty

Addiction MedicineAlso: General Practice

Education

Medical College of Ohio, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Health First Medical Center PLCGroup PAC ID 7517994999, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Health First Medical Center PLC

  dba My Family Doctor

  • Clinic/Center
  • Southgate, MI
  • NPI 1629001235
  Medicare reassignment Care Compare group NPD
• Ohio Living Palliative Care Greater Toledo LLC

  • Family Medicine Physician
  • Toledo, OH
  • NPI 1861981656
  Medicare reassignment NPD
• Talbot Clinical Services of Ohio LLC

  • Community/Behavioral Health Agency
  • Toledo, OH
  • NPI 1053902007
  Medicare reassignment NPD
• Talbot Clinical Services of Ohio LLC

  • Professional Counselor
  • Toledo, OH
  • NPI 1245635549
  Medicare reassignment NPD
• Physician Care Solutions P.C.

  • Internal Medicine Physician
  • Troy, MI
  • NPI 1285265983
  Medicare reassignment NPD
• Talbot Clinical Services of Ohio LLC

  dba Talbot Clinical Services

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Mt Washington, KY
  • NPI 1316646722
  NPD
• CHI Living Communities

  dba CHI Sacred Heart Home

  • Skilled Nursing Facility
  • Oregon, OH
  • NPI 1952876328
  NPD (past)
• Lima Memorial Joint Operating Company

  dba Lima Memorial Health System

  • General Acute Care Hospital
  • Lima, OH
  • NPI 1336144732
  NPD (past)
• Maumee Medical Partners LTD

  • Family Medicine Physician
  • Maumee, OH
  • NPI 1275516528
  NPD (past)

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

{
    "created_epoch": "1134432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535500800000",
    "number": "1629053681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3440 ISLAND AVE",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436144343",
            "telephone_number": "419-340-1289",
            "fax_number": "419-972-4203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3440 ISLAND AVE",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "43614",
            "telephone_number": "419-340-1289",
            "fax_number": "419-972-4203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENDZIERSKI",
        "first_name": "KEVIN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-13",
        "last_updated": "2018-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "OH",
            "license": "35.080641",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "OH",
            "license": "35. 080641",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104719902",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PARAMOUNT",
            "identifier": "01973",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "080139052",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000213037",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2426860",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BUCKEYE",
            "identifier": "605424",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Daniel Joseph Kemple, M.D.
• Victoria Kempton
• Allison Kendall
• John M Kendrick, CDCA
• Candy Sue Kendzierski, LPN
• Kenmore Preparatory Academy (Toledo Preparatory Academy)
• Sidney Kennard-Sheldon
• Dawn Kennard
• Amanda J Kennedy
• Daniel Kennedy

• Addiction Medicine (Family Medicine) Physician in Toledo, OH
• Providers in Toledo, OH by specialty
• Addiction Medicine (Family Medicine) Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2018; 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.

Verify at the official NPI Registry.