NPIMap

Individual provider Active NPI

Kenneth Green Dexter, DO

  • Internal Medicine Physician
  • Indianapolis, IN
National Provider Identifier
1700347739
Registry record updated May 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
05307 Issued in KY
Practice address
8414 Naab Rd Ste 100
Indianapolis, IN 46260-1972
Phone
(317) 338-7510
NPI assigned
Mar 31, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 15, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208M00000X 05307 KY
Student in an Organized Health Care Education/Training Program 390200000X
Internal Medicine Physician 207R00000X 05307 KY Primary

Addresses

Primary practice location

8414 Naab Rd Ste 100
Indianapolis, IN 46260-1972

Mailing address

8414 Naab Rd Ste 100
Indianapolis, IN 46260-1972
Phone (317) 338-7510

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, IN2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220811002056 KY Practitioner - Internal MedicinePractitioner - Hospitalist 4981939667 Reassigns benefits to 5 organizations
I20231114002510 IN Practitioner - Internal Medicine 4981939667

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Hospitalist
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hospital Medicine Services of Ky, LLCGroup PAC ID 0244695104, 34 clinicians
1 Care Partners Ky LLCGroup PAC ID 6901397892, 2 clinicians

Practice addresses (Care Compare)

1801 Ashley Cir
Bowling Green, KY 42104-3362
Phone (270) 793-1000

299 Kings Daughters Dr
Frankfort, KY 40601-6514
Phone (502) 875-5240

310 Boxwood Run
Mount Washington, KY 40047-7143
Phone (336) 663-2273

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
24 On Physicians, PC Multi-Specialty CurrentSince Oct 1, 2022 Accepting new patients
24 On Physicians, P.C. Multi-Specialty CurrentSince Oct 1, 2022 Accepting new patients
Cogent Healthcare of Kentucky, PSC Multi-Specialty CurrentSince Jun 28, 2023 Accepting new patients
Signify Health, LLC Multi-Specialty CurrentSince Jul 11, 2023 Accepting new patients
Hospital Medicine Services of Ky, LLC Multi-Specialty CurrentSince Apr 1, 2023 Accepting new patients
1 Care Partners Ky LLC Multi-Specialty CurrentSince Nov 22, 2025 Accepting new patients
Frankfort Hospital, Inc. Past Accepting new patients
Louisville Ky Opco LLC Past Accepting new patients

Locations

13000 Deerfield Pkwy
Ste 100
Alpharetta, GA 30004

1801 Ashley Cir
Bowling Green, KY 42104
Phone (270) 781-4330

217 S 3rd St
Danville, KY 40422
Phone (859) 239-1000

299 Kings Daughters Dr
Hatton, KY 40601
Phone (502) 875-5240

150 N Eagle Creek Dr
Lexington, KY 40509
Phone (859) 267-9773

1 Saint Joseph Dr
Lexington, KY 40504
Phone (502) 350-5000

312 S 4th St
Ste 700
Louisville, KY 40202
Phone (502) 628-5023

920 S 4th St
Louisville, KY 40203
Phone (502) 254-4200

225 Falcon Dr
Mt Sterling, KY 40353
Phone (859) 497-5000

310 Boxwood Run
Mt Washington, KY 40047
Phone (502) 538-3500

9505 Reisterstown Rd
Ste 2NW
Owings Mills, MD 21117
Phone (443) 571-8489

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Organizations & group practices 8

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.

Hospital & facility affiliations 39

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 39

NPI Registry JSON

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

{
    "created_epoch": "1553990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715731200000",
    "number": "1700347739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8414 NAAB RD STE 100",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462601972",
            "telephone_number": "317-338-7510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8414 NAAB RD STE 100",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462601972",
            "telephone_number": "317-338-7510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEXTER",
        "first_name": "KENNETH",
        "middle_name": "GREEN",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-03-31",
        "last_updated": "2024-05-15",
        "certification_date": "2024-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Hospitalist",
            "state": "KY",
            "license": "05307",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KY",
            "license": "05307",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.