Active NPI
Ben Earl Kitchens, MD
- Family Medicine Physician
- Iuka, MS
National Provider Identifier
1912979592
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 06296
- Practice address
- 302 Kaki St
Iuka, MS 38852 - Phone
- (662) 423-3662
- Fax
- (662) 423-2509
- NPI assigned
- Feb 7, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
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.
-
- Skilled Nursing Facility
- Iuka, MS
- NPI 1194773515
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Tupelo, MS
- NPI 1972509099
-
- Home Health Agency
- Tupelo, MS
- NPI 1003871344
-
- General Acute Care Hospital
- Tupelo, MS
- NPI 1598875460
Hospital
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of Mississippi School of Medicine, 1967
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
302 Kaki St
Iuka, MS 38852-1117
Phone (601) 423-3662
Hospital & facility affiliations
- Centerwell Home Health
- North Mississippi Medical Ctr HHA
- Tishomingo Health Services Inc
- Magnolia Regional Health Center
- North Mississippi Medical Center
- Tishomingo Manor
- Tishomingo Comm Living Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Removal of tissue | 1-10 |
| Removal of skin lesions | 1-10 |
| Skin biopsy | 1-10 |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Medicare enrollment records 1
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080327000263 | MS | Practitioner - Family Practice | 7911083225 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00007236 | AL | MD | Family Medicine Physician |
| 06296 | MS | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ben E. Kitchens | Family Medicine | Current | Accepting new patients |
| Tishomingo Community Care Center LLC | Past | Accepting new patients |
Locations
302 Kaki St
Iuka, MS 38852
Phone (601) 423-3662
Specialties & licenses 2
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 06296 | MS | Primary |
| Family Medicine Physician | 207Q00000X | 00007236 | AL |
Addresses
NPPES NPI RegistryPrimary practice location
302 Kaki St
Iuka, MS 38852
Mailing address
302 Kaki St
Iuka, MS 38852
Phone (662) 423-3662
Other identifiers 2
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00123644 | Medicaid | MS | |
| 1558533158 | Other | MS | GROUP NPI |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 19, 2010.
{
"created_epoch": "1139270400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1263859200000",
"number": "1912979592",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "302 KAKI ST",
"city": "IUKA",
"state": "MS",
"postal_code": "38852",
"telephone_number": "662-423-3662",
"fax_number": "662-423-2509"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "302 KAKI ST",
"city": "IUKA",
"state": "MS",
"postal_code": "38852",
"telephone_number": "662-423-3662",
"fax_number": "662-423-2509"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KITCHENS",
"first_name": "BEN",
"middle_name": "EARL",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-02-07",
"last_updated": "2010-01-19",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MS",
"license": "06296",
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "AL",
"license": "00007236",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00123644",
"state": "MS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP NPI",
"identifier": "1558533158",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Iuka, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2010; 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.