Active NPI
Rex A. Flenar, M.D.
- Family Medicine Physician
- Kendallville, IN
National Provider Identifier
1710962170
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 01036102A
- Practice address
- 130 Lake Terrace Dr
Kendallville, IN 46755-1819 - Phone
- (260) 349-9240
- Fax
- (260) 349-9244
- NPI assigned
- Dec 8, 2005
- Last updated
- Oct 10, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 01036102A | IN | Primary |
Addresses
Primary practice location
130 Lake Terrace Dr
Kendallville, IN 46755-1819
Mailing address
130 Lake Terrace Dr
Kendallville, IN 46755-1819
Phone (260) 349-9240
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100190950 | Medicaid | IN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 0 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 0
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brooklyn Medical Associates, PC | Family Medicine | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Family Medicine Physician
- Kendallville, IN
- NPI 1396060307
-
- Family Medicine Physician
- Fort Wayne, IN
- NPI 1851512198
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134000000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1349827200000",
"number": "1710962170",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "130 LAKE TERRACE DR",
"city": "KENDALLVILLE",
"state": "IN",
"postal_code": "467551819",
"telephone_number": "260-349-9240",
"fax_number": "260-349-9244"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "130 LAKE TERRACE DR",
"city": "KENDALLVILLE",
"state": "IN",
"postal_code": "467551819",
"telephone_number": "260-349-9240",
"fax_number": "260-349-9244"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLENAR",
"first_name": "REX",
"middle_name": "A.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-08",
"last_updated": "2012-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IN",
"license": "01036102A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100190950",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Kendallville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.