Individual provider Active NPI

Kendell Donald Koehler, M.D.

  • Family Medicine Physician
  • Morehead, KY
National Provider Identifier
1770945891
Registry record updated Dec 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
R4289 Issued in KY
Practice address
222 Medical Cir
Morehead, KY 40351-1179
Phone
(606) 783-5455
NPI assigned
Mar 28, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X R4289 KY Primary

Addresses

Primary practice location

222 Medical Cir
Morehead, KY 40351-1179

Mailing address

230 Lexington Green Cir
Ste 600
Lexington, KY 40503-3326
Phone (859) 971-4695

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kkoehler97602@bhkydirect.com

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190729003135 KY Practitioner - Family Practice 0345503348 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Baptist Health Medical Group IncGroup PAC ID 5597867184, 2,431 clinicians

Practice addresses (Care Compare)

4071 Tates Creek Centre Dr
Suite 100
Lexington, KY 40517-3062
Phone (859) 273-3888

Hospital & facility affiliations

  • Baptist Health Home Care Ky, LLC Dba Baptist Home Health Care Home health agency, Lexington, KY, CCN 187104
  • Baptist Health Lexington Hospital, Lexington, KY, CCN 180103
  • Saint Joseph East Hospital, Lexington, KY, CCN 180143

Merit-based Incentive Payment System (MIPS)

Final score
94.29 of 100Reported as apm
Quality
87.32
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Health Medical Group Inc CurrentSince Aug 1, 2019 Accepting new patients
Baptist Health Medical Group Inc CurrentSince Aug 1, 2019 Accepting new patients

Locations

4071 Tates Creek Centre Dr
Ste 202
Lexington, KY 40517
Phone (859) 260-4390

4071 Tates Creek Centre Dr
Ste 100
Lexington, KY 40517
Phone (859) 273-3888

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 and National Provider Directory roles.

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1459123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607299200000",
    "number": "1770945891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 LEXINGTON GREEN CIR",
            "address_2": "STE 600",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405033326",
            "telephone_number": "859-971-4695",
            "fax_number": "859-971-4604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 MEDICAL CIR",
            "city": "MOREHEAD",
            "state": "KY",
            "postal_code": "403511179",
            "telephone_number": "606-783-5455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOEHLER",
        "first_name": "KENDELL",
        "middle_name": "DONALD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-03-28",
        "last_updated": "2020-12-07",
        "certification_date": "2020-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "R4289",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kkoehler97602@bhkydirect.com",
            "affiliation": "N",
            "address_1": "222 Medical Cir",
            "city": "Morehead",
            "state": "KY",
            "country_code": "US",
            "postal_code": "403511179",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Morehead, KY

Sources for this page

Verify at the official NPI Registry.