Active NPI
Alexander Mark Pennekamp, DO
- Nephrology Physician
- Cincinnati, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- 34.015436
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 34.015436 | OH | MD | Nephrology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kidney and Hypertension Center Inc | Nephrology | Current | 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
- 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.
-
- Rheumatology Physician
- Crestview Hills, KY
- NPI 1851449425
Hospital & facility affiliations 9
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Cincinnati, OH
- NPI 1396714663
-
- General Acute Care Hospital
- Cincinnati, OH
- NPI 1780633289
-
- General Acute Care Hospital
- Cincinnati, OH
- NPI 1336478163
-
- General Acute Care Hospital
- Cincinnati, OH
- NPI 1457964041
-
- General Acute Care Hospital
- Montgomery, OH
- NPI 1477166064
-
- General Acute Care Hospital
- Cincinnati, OH
- NPI 1508835828
-
- General Acute Care Hospital
- Cincinnati, OH
- NPI 1740893320
-
- General Acute Care Hospital
- Cincinnati, OH
- NPI 1851904445
-
- General Acute Care Hospital
- Edgewood, KY
- NPI 1467492421
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2026; 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.