Individual provider Active NPI

Kenneth G. Berkenstock, M.D.

  • Radiation Oncology Physician
  • Lancaster, PA
National Provider Identifier
1821076571
Registry record updated Apr 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
MD050903L Issued in PA
Practice address
555 N Duke St
Lancaster, PA 17602-2250
Phone
(717) 394-6028
Fax
(717) 394-9223
NPI assigned
Jan 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X MD050903L PA Primary

Addresses

Primary practice location

555 N Duke St
Lancaster, PA 17602-2250

Mailing address

PO Box 4216
Lancaster, PA 17604-4216
Phone (717) 394-6028

Other identifiers 1

IdentifierTypeStateIssuer
01435808MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20050124000565 PA Practitioner - Radiation Oncology 9436109907 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
Hahnemann University College of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lancaster General HospitalGroup PAC ID 1254240039, 520 clinicians

Practice addresses (Care Compare)

2100 Harrisburg Pike
Lancaster, PA 17601-2644
Phone (717) 544-3113

2102 Harrisburg Pike
Lancaster, PA 17601-2644
Phone (717) 544-3113

2108 Harrisburg Pike
Suite 315
Lancaster, PA 17601-2644
Phone (717) 544-3555

2112 Harrisburg Pike
Lancaster, PA 17601-2644

317 Chestnut St
Quarryville, PA 17566-1184
Phone (717) 544-3555

554 N Duke St FL
3 Penn Med Lanc Gen Health Phys Comprehensi
Lancaster, PA 17602-2250
Phone (717) 554-4943

555 N Duke St
Lancaster, PA 17602-2250

Hospital & facility affiliations

  • Lancaster General Hospital Hospital, Lancaster, PA, CCN 390100
  • Milton S Hershey Medical Center Hospital, Hershey, PA, CCN 390256
  • Upmc Lititz Hospital, Lititz, PA, CCN 390068

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD050903LPAMDRadiation Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lancaster General Hospital CurrentSince Jan 1, 2017 Accepting new patients
Lancaster General Hospital CurrentSince Jan 1, 2017 Accepting new patients
Lancaster General Hospital Radiation Oncology Current Accepting new patients
Lancaster General Medical Group Past Accepting new patients

Locations

555 N Duke St
Lancaster, PA 17602
Phone (717) 544-5945

2102 Harrisburg Pike
Lancaster, PA 17601
Phone (717) 544-3600

317 Chestnut St
Quarryville, PA 17566
Phone (717) 544-3555

Interoperability endpoints

  • Direct secure messaging: kberkenstock11645@direct-lghealth.org

Organizations & group practices 4

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 6

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": "1136332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1396483200000",
    "number": "1821076571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4216",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176044216",
            "telephone_number": "717-394-6028",
            "fax_number": "717-394-9223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 N DUKE ST",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176022250",
            "telephone_number": "717-394-6028",
            "fax_number": "717-394-9223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERKENSTOCK",
        "first_name": "KENNETH",
        "middle_name": "G.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-04",
        "last_updated": "2014-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "PA",
            "license": "MD050903L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01435808",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, PA

Sources for this page

Verify at the official NPI Registry.