Active NPI
Kenneth G. Berkenstock, M.D.
- Radiation Oncology Physician
- Lancaster, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiation Oncology Physician
- License
- MD050903L
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01435808 | Medicaid | PA |
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
Enrollment records 1
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
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
- Milton S Hershey Medical Center
- Upmc Lititz
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD050903L | PA | MD | Radiation Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lancaster General Hospital | Current | Accepting new patients | |
| Lancaster General Hospital | Current | 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
- 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.
-
- Radiation Oncology Physician
- Lancaster, PA
- NPI 1720430812
-
- Gastroenterology Physician
- Lancaster, PA
- NPI 1205691912
-
- Geriatric Medicine (Family Medicine) Physician
- Lancaster, PA
- NPI 1285654467
-
- Family Medicine Physician
- East Petersburg, PA
- NPI 1083600290
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Lancaster, PA
- NPI 1104875103
-
- General Acute Care Hospital
- Parkesburg, PA
- NPI 1245571942
-
- General Acute Care Hospital
- Hershey, PA
- NPI 1568435477
-
- General Acute Care Hospital
- Lititz, PA
- NPI 1285167916
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2014; 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.