Active NPI
Jakob Kissel, M.D.
- Emergency Medicine Physician
- Lexington, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- R2792
- Practice address
- University of Kentucky
800 Rose St. RM M53
Lexington, KY 40536-0298 - Phone
- (859) 323-5083
- NPI assigned
- May 31, 2011
- Last updated
- Apr 22, 2013
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | NU | ||
| Emergency Medicine Physician | 207P00000X | R2792 | KY | Primary |
Addresses
Primary practice location
University of Kentucky
800 Rose St. RM M53
Lexington, KY 40536-0298
Mailing address
University of Kentucky
800 Rose St RM M53
Lexington, KY 40536-0298
Phone (859) 323-5083
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NH, VT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- University of Kentucky College of Medicine, 2011
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
18 Locust Ave
Exeter, NH 03833-1624
2211 Congress St
Portland, ME 04102-1941
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 77.9 of 100
- Quality
- 93.8
- Improvement activities
- 0
- Cost
- 79.98
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R2792 | KY | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Springfield Hospital | Emergency Medicine | Current | Accepting new patients |
| Emergency Medicine Physicians of Rockingham County, LLC | Emergency Medicine | Current | Accepting new patients |
| Springfield Hospital .Inc | Current | Accepting new patients |
Locations
5 Alumni Dr
Exeter, NH 03833
Phone (603) 580-6339
25 Ridgewood Rd
Springfield, VT 05156
Phone (780) 281-9593
Interoperability endpoints
- jkissel554983@direct.bilh.masshiway.net
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.
-
- Emergency Medicine Physician
- Exeter, NH
- NPI 1174956668
-
- Critical Access Hospital Clinic/Center
- Springfield, VT
- NPI 1033225875
Emergency Medicine
-
- Critical Access Hospital
- Springfield, VT
- NPI 1982743969
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Exeter, NH
- NPI 1437158433
-
dba Catholic Medical Center
- General Acute Care Hospital
- Manchester, NH
- NPI 1972340990
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1306800000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1366588800000",
"number": "1922392620",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "UNIVERSITY OF KENTUCKY",
"address_2": "800 ROSE ST RM M53",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405360298",
"telephone_number": "859-323-5083",
"fax_number": "859-323-8056"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "UNIVERSITY OF KENTUCKY",
"address_2": "800 ROSE ST. RM M53",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405360298",
"telephone_number": "859-323-5083"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KISSEL",
"first_name": "JAKOB",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-05-31",
"last_updated": "2013-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "KY",
"license": "R2792",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lexington, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2013; 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.