Individual provider Active NPI

Alexander Mark Pennekamp, DO

  • Nephrology Physician
  • Cincinnati, OH
National Provider Identifier
1790246981
Registry record updated May 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
34.015436 Issued in OH
Practice address
2123 Auburn Ave Ste 404
Cincinnati, OH 45219-2906
Phone
(513) 241-5630
Fax
(513) 241-7146
NPI assigned
Mar 29, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 27, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 34.015436 OH
Nephrology Physician 207RN0300X 34.015436 OH Primary

Addresses

Primary practice location

2123 Auburn Ave Ste 404
Cincinnati, OH 45219-2906

Mailing address

2123 Auburn Ave Ste 404
Cincinnati, OH 45219-2906
Phone (513) 241-5630

Other practice location 1

375 Dixmyth Ave # 5
Cincinnati, OH 45220-2475
Phone (513) 862-1800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, OH2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20250612002851 KY Practitioner - Internal Medicine 3870825011 Reassigns benefits to 1 organization
I20250612002929 OH Practitioner - Internal Medicine 3870825011 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Ohio University, College of Osteopathic Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Kidney and Hypertension Center IncGroup PAC ID 9830099985, 47 clinicians

Practice addresses (Care Compare)

2123 Auburn Ave
Suite 404
Cincinnati, OH 45219-2906
Phone (513) 241-5630

830 Thomas More Pkwy
Suite 202
Edgewood, KY 41017-5103
Phone (859) 341-6281

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
34.015436OHMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kidney and Hypertension Center Inc Nephrology CurrentSince Jun 1, 2025 Accepting new patients
Tristate Arthritis & Rheumatology PSC Past Accepting new patients

Locations

850 W Rio Salado Pkwy
Ste 201
Tempe, AZ 85281

1500 James Simpson Jr Way
Ste 301
Covington, KY 41011
Phone (859) 341-6281

405 Violet Rd
Crittenden, KY 41030
Phone (859) 428-1610

7370 Turfway Rd
Ste 290
Florence, KY 41042
Phone (330) 637-0348

40 N Grand Ave
Ste 204
Fort Thomas, KY 41075
Phone (606) 781-6222

830 Thomas More Pkwy
Ste 202
Ft Mitchell, KY 41017
Phone (606) 341-6281

13260 Service Rd
Walton, KY 41094
Phone (859) 341-6281

238 Barnes Rd
Williamstown, KY 41097
Phone (859) 292-4000

2055 Hospital Dr
Ste 335
Batavia, OH 45103
Phone (513) 688-1500

2123 Auburn Ave
Ste 404
Cincinnati, OH 45219
Phone (513) 241-5630

3301 Mercy Health Blvd
Ste 365
Cincinnati, OH 45211
Phone (513) 758-1170

4805 Montgomery Rd
Ste 156
Cincinnati, OH 45212
Phone (513) 861-0800

11135 Montgomery Rd
Cincinnati, OH 45249
Phone (513) 793-2220

3219 Clifton Ave
Ste 325
Cincinnati, OH 45220
Phone (513) 861-0800

4435 Aicholtz Rd
Ofc 800C
Cincinnati, OH 45245
Phone (513) 688-1500

1210 Hicks Blvd
Fairfield, OH 45014
Phone (513) 939-1120

1532 Main St
Hamilton, OH 45013
Phone (513) 737-0158

10450 New Haven Rd
Ste 2
Harrison, OH 45030
Phone (513) 861-0800

100 Arrow Springs Blvd
Ste 108
Lebanon, OH 45036
Phone (513) 791-7572

7335 Yankee Rd
Ste 101
Liberty Township, OH 45044
Phone (513) 755-2524

200 Medical Center Dr
Ste 360
Middletown, OH 45005
Phone (513) 217-5720

8040 Princeton Glendale Rd
West Chester, OH 45069
Phone (513) 346-5065

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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 9

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": "1553817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779840000000",
    "number": "1790246981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2123 AUBURN AVE STE 404",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452192906",
            "telephone_number": "513-241-5630",
            "fax_number": "513-241-7146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2123 AUBURN AVE STE 404",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452192906",
            "telephone_number": "513-241-5630",
            "fax_number": "513-241-7146"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "375 Dixmyth Ave # 5",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452202475",
            "country_code": "US",
            "telephone_number": "513-862-1800",
            "fax_number": "513-793-4523",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PENNEKAMP",
        "first_name": "ALEXANDER",
        "middle_name": "MARK",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-29",
        "last_updated": "2026-05-27",
        "certification_date": "2026-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "34.015436",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "OH",
            "license": "34.015436",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.