Individual provider Active NPI

Kenneth J Pahren, M.D.

  • Family Medicine Physician
  • Brookville, IN
National Provider Identifier
1841295409
Registry record updated Mar 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
01064537A Issued in IN
Practice address
11137 US Highway 52
Brookville, IN 47012-7901
Phone
(765) 647-5126
Fax
(765) 647-5900
NPI assigned
Jun 20, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2021

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 01064537A IN Primary

Addresses

Primary practice location

11137 US Highway 52
Brookville, IN 47012-7901

Mailing address

PO Box 223
Batesville, IN 47006-0223
Phone (812) 933-5441

Other identifiers 2

IdentifierTypeStateIssuer
100328820MedicaidIN
0779886MedicaidOH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address KENNETH.PAHREN@mmhealth.cernerdirect.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20090429000624 IN Practitioner - Family Practice 4789654559 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Margaret Mary Community Hospital Inc Current Accepting new patients
Major Hospital Past Accepting new patients
Qualified Emergency Specialists Inc Past Accepting new patients

Locations

321 Mitchell Ave
Batesville, IN 47006
Phone (812) 933-5018

Interoperability endpoints

  • Direct secure messaging: kenneth.pahren@mmhealth.cernerdirect.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1119225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616976000000",
    "number": "1841295409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 223",
            "city": "BATESVILLE",
            "state": "IN",
            "postal_code": "470060223",
            "telephone_number": "812-933-5441",
            "fax_number": "812-933-5446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11137 US HIGHWAY 52",
            "city": "BROOKVILLE",
            "state": "IN",
            "postal_code": "470127901",
            "telephone_number": "765-647-5126",
            "fax_number": "765-647-5900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAHREN",
        "first_name": "KENNETH",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-20",
        "last_updated": "2021-03-29",
        "certification_date": "2021-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01064537A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100328820",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0779886",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "KENNETH.PAHREN@mmhealth.cernerdirect.com",
            "affiliation": "N",
            "address_1": "11137 US Highway 52",
            "city": "Brookville",
            "state": "IN",
            "country_code": "US",
            "postal_code": "470127901",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Brookville, IN

Sources for this page

Verify at the official NPI Registry.