Active NPI
Kenneth D Farr, MD
- Ophthalmology Physician
- Springfield, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 16864
- Practice address
- 2020 W Iles Ave
Springfield, IL 62704-4174 - Phone
- (217) 698-3030
- NPI assigned
- Oct 27, 2006
- Last updated
- Apr 6, 2023
- 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 |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 16864 | SC | Primary |
Addresses
Primary practice location
2020 W Iles Ave
Springfield, IL 62704-4174
Mailing address
10 William Pope Drive
Sungate Medical Center
Bluffon, SC 29909
Phone (843) 842-2020
Other practice location 1
10 William Pope Drive
SunGate Medical Center
Bluffon, SC 29909
Phone (843) 842-2020
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | kenf@palmettoeye.emadirect.md | Health Information Exchange (HIE) | SUNGATE MEDICAL GROUP LLC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC, GA, AL, IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 4
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 91.63 of 100
- Quality
- 90.15
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eye Health Partners of Alabama Inc | Ophthalmology | Current | Accepting new patients |
Locations
200 Wildwood Pkwy
Ste 100B
Homewood, AL 35209
250 State Farm Pkwy
Homewood, AL 35209
Phone (205) 943-4650
540 Cotton Gin Rd
Montgomery, AL 36117
Interoperability endpoints
- kenf@palmettoeye.emadirect.md
Organizations & group practices 5
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.
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- Bluffton, SC
- NPI 1114322336
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- Family Medicine Physician
- Bluffton, SC
- NPI 1366786485
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161907200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1680739200000",
"number": "1740366244",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 WILLIAM POPE DRIVE",
"address_2": "SUNGATE MEDICAL CENTER",
"city": "BLUFFON",
"state": "SC",
"postal_code": "29909",
"telephone_number": "843-842-2020",
"fax_number": "843-705-1512"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2020 W ILES AVE",
"city": "SPRINGFIELD",
"state": "IL",
"postal_code": "627044174",
"telephone_number": "217-698-3030"
}
],
"practiceLocations": [
{
"address_1": "10 William Pope Drive",
"address_2": "SunGate Medical Center",
"address_purpose": "LOCATION",
"city": "Bluffon",
"state": "SC",
"postal_code": "29909",
"country_code": "US",
"telephone_number": "843-842-2020",
"fax_number": "843-705-1512",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FARR",
"first_name": "KENNETH",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-27",
"last_updated": "2023-04-06",
"certification_date": "2023-04-06",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "SC",
"license": "16864",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "kenf@palmettoeye.emadirect.md",
"affiliation": "Y",
"affiliationName": "SUNGATE MEDICAL GROUP LLC",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "10 William Pope Drive",
"address_2": "SunGate Medical Center",
"city": "Bluffon",
"state": "SC",
"country_code": "US",
"postal_code": "29909",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Springfield, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2023; 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.