Kenneth J Bochenek, M.D.
Individual provider Active NPI Anesthesiology Physician · Lebanon, IN
NPI 1750486759 · NPPES record last updated Aug 12, 2019
Key facts
- NPI
- 1750486759
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Anesthesiology Physician 207L00000X
- License
- 01035306 (IN)
- Practice address
- 2605 N Lebanon St
Lebanon, IN 46052-1476 - Phone
- (765) 485-8060
- Fax
- (173) 614-9655
- NPI assigned
- Sep 14, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 5
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Anesthesiology
- Education
- Wayne State University School of Medicine, 1982
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Anesthesiology of Indianapolis, PC
Practice addresses (Care Compare)
2605 N Lebanon St
Lebanon, IN 46052-1476
Phone (765) 485-8000
Hospital & facility affiliations
- Witham Health Services
Merit-based Incentive Payment System (MIPS)
- Final score
- 67.76 of 100
- Quality
- 62.07
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050608000565 | IN | Practitioner - Anesthesiology | 2961445127 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01035306 | IN | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anesthesiology of Indianapolis, PC | Anesthesiology | Current |
Accepting new patients |
| Associated Anesthesiologists of Fort Wayne PC | Anesthesiology | Current |
Accepting new patients |
| GLHS Anesthesia Group | Anesthesiology | Past | Accepting new patients |
| Henry Ford West Bloomfield Hospital | Anesthesiology | Past | Accepting new patients |
| Anesthesiology Associates, PC | Anesthesiology | Past | Accepting new patients |
Locations
416 E Maumee St
Angola, IN 46703
Phone (260) 665-2141
1316 E 7th St
Auburn, IN 46706
Phone (260) 925-4600
7950 W Jefferson Blvd
Fort Wayne, IN 46804
Phone (260) 434-7088
10315 Dawsons Creek Blvd
Ste Ab
Fort Wayne, IN 46825
Phone (219) 436-7875
2520 E DuPont Rd
Fort Wayne, IN 46825
Phone (219) 407-8000
7952 W Jefferson Blvd
Fort Wayne, IN 46804
Phone (260) 435-2999
6435 W Jefferson Blvd
Fort Wayne, IN 46804
Phone (260) 436-7875
2605 N Lebanon St
Lebanon, IN 46052
Phone (765) 485-8000
701 Orthopaedic Dr
Warsaw, IN 46582
Phone (260) 435-6722
2101 Dubois Dr
Warsaw, IN 46580
Phone (219) 267-3200
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 01035306 | IN | Yes |
Addresses
Primary practice location
2605 N Lebanon St
Lebanon, IN 46052-1476
Mailing address
PO Box 6069-Dept 87
Indianapolis, IN 46206-6069
Phone (866) 282-7905
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100232250 | Medicaid | IN |
Other providers in Lebanon, IN
- Dana Lynn Bettenhausen
- Shapel Bibbs
- Jessica Marie Bingham
- Brenda Blake
- Kristin Blessing
- Tara Boelke
- Hannah Boetscher
- Lacy Ann Boggs
- Boone County Auditor
- Boone County Chiropractic Office, PC
All providers in Lebanon, IN · Anesthesiology Physician in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 12, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.