NPIMap

Individual provider Active NPI

Kevin P Henzel, MD

  • Internal Medicine Physician
  • Marysville, OH
National Provider Identifier
1851384846
Registry record updated Feb 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35083208 Issued in OH
Practice address
14210 Scottslawn Rd
Marysville, OH 43041-0001
Phone
(937) 578-4288
Fax
(937) 578-2642
NPI assigned
Aug 25, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hospice and Palliative Medicine (Internal Medicine) Physician 207RH0002X 35-083208 OH
Internal Medicine Physician 207R00000X 35083208 OH Primary

Addresses

Primary practice location

14210 Scottslawn Rd
Marysville, OH 43041-0001

Mailing address

14210 Scottslawn Rd
Marysville, OH 43041-0001
Phone (937) 578-4288

Other identifiers 1

IdentifierTypeStateIssuer
2511320MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040803001742 OH Practitioner - Internal Medicine 8628049640 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Ohio State University College of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Union County Physician CorporationGroup PAC ID 1557419173, 105 clinicians

Practice addresses (Care Compare)

14210 Scottslawn Rd
Marysville, OH 43041-0001
Phone (937) 578-5555

Hospital & facility affiliations

  • Viaquest Hospice, LLC Hospice, Marysville, OH, CCN 361659
  • Viaquest Hospice, LLC Hospice, Cincinnati, OH, CCN 361660
  • Memorial Hospital Hospital, Marysville, OH, CCN 360092
  • James Cancer Hospital & Solove Research Institute Hospital, Columbus, OH, CCN 360242

Merit-based Incentive Payment System (MIPS)

Final score
83.33 of 100Reported as group
Quality
68.93
Promoting interoperability
100
Improvement activities
40
Cost
75.49

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35083208OHMDInternal Medicine Physician
35-083208OHMDHospice and Palliative Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Union County Physician Corporation CurrentSince May 1, 2017 Accepting new patients
Memorial Hospital of Union County CurrentSince Jun 29, 2009 Accepting new patients
Memorial Hospital of Union County Internal Medicine CurrentSince Jun 29, 2009 Accepting new patients
Union County Physician Corporation CurrentSince May 1, 2017 Accepting new patients
Internal Medicine Physicians of Central Ohio LLC Internal Medicine PastSince Aug 1, 2005 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

500 London Ave
Marysville, OH 43040
Phone (740) 420-8451

120 Colemans Crossing Blvd
Ste C
Marysville, OH 43040
Phone (937) 578-4200

388 Damascus Rd
Marysville, OH 43040
Phone (937) 578-2626

660 London Ave
Marysville, OH 43040
Phone (614) 293-4967

120 Colemans Crossing Blvd
Marysville, OH 43040
Phone (937) 578-4200

660 London Ave
Ste A
Marysville, OH 43040
Phone (937) 578-4206

Interoperability endpoints

  • Direct secure messaging: khenzel889180@direct.osumc.edu

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Viaquest Hospice, LLCMarysville, OH, CCN 361659 Hospice Contracted Managing Employee Sep 22, 2019

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 6

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 4

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": "1124928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707177600000",
    "number": "1851384846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14210 SCOTTSLAWN RD",
            "city": "MARYSVILLE",
            "state": "OH",
            "postal_code": "430410001",
            "telephone_number": "937-578-4288",
            "fax_number": "937-578-2642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14210 SCOTTSLAWN RD",
            "city": "MARYSVILLE",
            "state": "OH",
            "postal_code": "430410001",
            "telephone_number": "937-578-4288",
            "fax_number": "937-578-2642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENZEL",
        "first_name": "KEVIN",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-25",
        "last_updated": "2024-02-06",
        "certification_date": "2024-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0002X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": "OH",
            "license": "35-083208",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35083208",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2511320",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marysville, OH

Sources for this page

Verify at the official NPI Registry.