Daniel Roger Kendis, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

35043714 Issued in OH

Practice address

23788 E Groveland Rd
Beachwood, OH 44122-1205

Phone

(216) 403-1694

NPI assigned

Apr 24, 2007

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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.

• Mills Medical Practices, LLC

  • Primary Care Clinic/Center
  • Beachwood, OH
  • NPI 1477701969
  NPD (past)
• Mills Medical Practices, LLC

  • Primary Care Clinic/Center
  • Abingdon, VA
  • NPI 1841920287
  NPD (past)

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

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437609600000",
    "number": "1720207145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23788 E GROVELAND RD",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441221205",
            "telephone_number": "216-291-5143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23788 E GROVELAND RD",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441221205",
            "telephone_number": "216-403-1694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENDIS",
        "first_name": "DANIEL",
        "middle_name": "ROGER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-24",
        "last_updated": "2015-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35043714",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0404753",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rachel Tess Kelly, CDCA
• Thomas Stewart Kelly, DDS
• David Kelner, IMFT
• Kevin Jon Kemelhar, MED EDS
• Janet Lee Kemp, M.D.
• Alexis Kennedy, REGISTERED NURSE
• Kent E Rozel, PH.D., LLC
• James I Kepner, PHD
• Kerri Sutton & Associates, Inc
• Inna Keselman, MPT DCS

• Internal Medicine Physician in Beachwood, OH
• Providers in Beachwood, OH by specialty
• Internal Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.