Ajitkumar Kemkar, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MD27349 Issued in TN

Practice address

2625 Executive Park NW
Cleveland, TN 37312-2721

Phone

(423) 472-9341

Fax

(423) 472-3746

NPI assigned

Jul 7, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Internal Medicine

Education

Other, 1981

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1679505168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2625 EXECUTIVE PARK NW",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373122721",
            "telephone_number": "423-472-9341",
            "fax_number": "423-472-3746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2625 EXECUTIVE PARK NW",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373122721",
            "telephone_number": "423-472-9341",
            "fax_number": "423-472-3746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEMKAR",
        "first_name": "AJITKUMAR",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "MD27349",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrea Michelle Keith, FNP-C
• Cassie Keller, DPH
• Melody Rae Wallace Kelley, CBD (AWWS)
• Kelli Jackson
• Taylor Nichole Kelso
• Kenneth E. Beard, DDS,PC
• Casey Ann Kent, DC
• Miranda Keplinger, LPC-MHSP
• Casey Renee Kepner, FNP
• Kathleen M Kerecman, MS, LAT, ATC

• Internal Medicine Physician in Cleveland, TN
• Providers in Cleveland, TN by specialty
• Internal Medicine Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.