Individual provider Active NPI

Kristen Kenney, M.D.

  • Family Medicine Physician
  • Columbus, OH
National Provider Identifier
1902845647
Registry record updated Feb 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
35084218-K Issued in OH
Practice address
1120 Polaris Pkwy Ste 200
Columbus, OH 43240-4042
Phone
(614) 880-9333
Fax
(614) 880-9331
NPI assigned
Jun 6, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 16, 2026

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 35084218-K OH Primary

Addresses

Primary practice location

1120 Polaris Pkwy Ste 200
Columbus, OH 43240-4042

Mailing address

1120 Polaris Pkwy Ste 200
Columbus, OH 43240-4042
Phone (614) 880-9333

Other practice location 1

900 Club Dr
Westerville, OH 43081-4911
Phone (614) 899-2838

Other names 1

  • Kristen Carle Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kristen.kenney.1@10687.direct.athenahealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20050803000660 OH Practitioner - Family Practice 7618905233 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Ohio State University College of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Central Ohio Primary Care Physicians, Inc.Group PAC ID 2769383785, 487 clinicians

Practice addresses (Care Compare)

1120 Polaris Pkwy
Columbus, OH 43240-4042

900 Club Dr
Westerville, OH 43081-4909
Phone (614) 899-2838

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35084218-KOHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Central Ohio Primary Care Physicians, Inc. Family Medicine CurrentSince Mar 2, 2026 Accepting new patients
Central Ohio Primary Care Physicians, Inc. CurrentSince Mar 2, 2026 Accepting new patients
Children'S Center for Developmental Enrichment PastSince Jan 10, 2011 Accepting new patients

Locations

1120 Polaris Pkwy
Ste 200
Columbus, OH 43240
Phone (614) 880-9333

3433 Agler Rd
Ste 2800
Columbus, OH 43219
Phone (614) 645-1600

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.

NPI Registry JSON

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

{
    "created_epoch": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771200000000",
    "number": "1902845647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 POLARIS PKWY STE 200",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432404042",
            "telephone_number": "614-880-9333",
            "fax_number": "614-880-9331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 POLARIS PKWY STE 200",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432404042",
            "telephone_number": "614-880-9333",
            "fax_number": "614-880-9331"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "900 Club Dr",
            "address_purpose": "LOCATION",
            "city": "Westerville",
            "state": "OH",
            "postal_code": "430814911",
            "country_code": "US",
            "telephone_number": "614-899-2838",
            "fax_number": "614-899-2872",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KENNEY",
        "first_name": "KRISTEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-06",
        "last_updated": "2026-02-16",
        "certification_date": "2026-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35084218-K",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kristen.kenney.1@10687.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "900 Club Dr",
            "city": "Westerville",
            "state": "OH",
            "country_code": "US",
            "postal_code": "430814911",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "KRISTEN",
            "last_name": "CARLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.