Kenneth John Pompilio, MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

D0029467 Issued in MD

Practice address

303 Washington Street
Kenneth J Pompilio MD PA
Cumberland, MD 21502-2828

Phone

(301) 722-2200

Fax

(301) 722-2206

NPI assigned

Sep 12, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MD

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 1

Specialty

Ophthalmology

Education

Other, 1977

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Physician Assistant

Practice roles

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.

• Kennth J Pompilio MD PA

  • Ophthalmology Physician
  • Cumberland, MD
  • NPI 1649533282
  Medicare reassignment NPD Authorized official
• Frederick Health Hospital Inc

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)
• Potomac Valley Hospital of W VA, Inc

  • Rural Health Clinic/Center
  • Elk Garden, WV
  • NPI 1760499016
  NPD (past)
• Potomac Valley Hospital of WV, Inc.

  • Internal Medicine Physician
  • Keyser, WV
  • NPI 1578305256
  NPD (past)

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

{
    "created_epoch": "1158019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1335744000000",
    "number": "1649374356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 WASHINGTON STREET",
            "address_2": "KENNETH J POMPILIO MD PA",
            "city": "CUMBERLAND",
            "state": "MD",
            "postal_code": "215022828",
            "telephone_number": "301-722-2200",
            "fax_number": "301-722-2206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 WASHINGTON STREET",
            "address_2": "KENNETH J POMPILIO MD PA",
            "city": "CUMBERLAND",
            "state": "MD",
            "postal_code": "215022828",
            "telephone_number": "301-722-2200",
            "fax_number": "301-722-2206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POMPILIO",
        "first_name": "KENNETH",
        "middle_name": "JOHN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-12",
        "last_updated": "2012-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MD",
            "license": "D0029467",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0096915000",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "462171900",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kristi L Plummer, LCSW-C
• Alida I Podrumar, M.D.
• Sagar Pokhrel, MD
• Poland Eye Care Associates, PA
• Jeffrey Alan Poland, OD
• Sherri Pontious
• Clarissa Janelle Poole
• Vikramaditya Poonai, M.D.
• Lisa Porter, LGSW
• Positive Progression, PC

• Ophthalmology Physician in Cumberland, MD
• Providers in Cumberland, MD by specialty
• Ophthalmology Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2012; 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.