Active NPI
James Kennealy, MD
- Pulmonary Disease Physician
- Cincinnati, OH
National Provider Identifier
1942240973
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- 35033588
- Practice address
- 2001 Anderson Ferry Rd
Cincinnati, OH 45238-3325 - Phone
- (513) 246-7000
- Fax
- (513) 922-2103
- NPI assigned
- Jun 7, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | 35033588 | OH | Primary |
Addresses
Primary practice location
2001 Anderson Ferry Rd
Cincinnati, OH 45238-3325
Mailing address
4685 Forest Ave
Suite C
Cincinnati, OH 45212-3397
Phone (513) 853-4721
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 386434 | Medicaid | OH | |
| P00340571 | Other | OH | MEDICARE RR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180828002178 | GA | Order and Referring Only - Pulmonary Disease | 3779475207 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35033588 | OH | MD | Pulmonary Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Diagnostic Cardiologists Inc. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Cardiovascular Disease Physician
- Cincinnati, OH
- NPI 1033109566
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149638400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1403740800000",
"number": "1942240973",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4685 FOREST AVE",
"address_2": "SUITE C",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452123397",
"telephone_number": "513-853-4721",
"fax_number": "513-852-8525"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2001 ANDERSON FERRY RD",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452383325",
"telephone_number": "513-246-7000",
"fax_number": "513-922-2103"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KENNEALY",
"first_name": "JAMES",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-07",
"last_updated": "2014-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "OH",
"license": "35033588",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "386434",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RR",
"identifier": "P00340571",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cincinnati, OH
- Keneice'S Loving Arms Childcare Center & Preschool
- Susan Louise Kenford, PH.D.
- Henry Francis Kenkel, MD
- Timothy Patrick Kenkel, O.D.
- Robert Adam Kennard, BA, CDCA, CPRS
- Greg Kennebeck, MD
- Stephanie S Kennebeck, M.D.
- Kennedy Heights Counseling Services
- Sarah Christine Kennedy-Smith, CNP
- Aimee Adair Kennedy, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2014; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.