Active NPI
Kenneth L. Reed, DO
- Gastroenterology Physician
- Troy, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 34008140
- Practice address
- 3130 N County Road 25a Ste 109
Troy, OH 45373-1337 - Phone
- (937) 440-9292
- Fax
- (937) 440-4227
- NPI assigned
- Nov 16, 2005
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 34008140 | OH | |
| Internal Medicine Physician | 207R00000X | 5101016292 | MI | |
| Gastroenterology Physician | 207RG0100X | 34008140 | OH | Primary |
Addresses
Primary practice location
3130 N County Road 25a Ste 109
Troy, OH 45373-1337
Mailing address
3130 N County Road 25a Ste 109
Troy, OH 45373-1337
Phone (937) 440-9292
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2523997 | Medicaid | OH |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20041219000012 | OH | Practitioner - Gastroenterology | 7618934811 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Gastroenterology
- Education
- West Virginia School of Osteopathic Medicine, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3130 N Country Rd
25A Suite 109
Troy, OH 45373-1337
Phone (937) 440-9292
Hospital & facility affiliations
- Upper Valley Medical Center
- Miami Valley Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.12 of 100
- Quality
- 84.25
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 72.81
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 204 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 299 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5101016292 | MI | MD | Internal Medicine Physician |
| 34008140 | OH | MD | Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Uvpc Specialists Inc. | Current | Accepting new patients | |
| Uvpc Specialists, Inc. | Current | Accepting new patients | |
| Fairfield Medical Center | Past | Accepting new patients | |
| Capitol Medical Associates,LLC | Past | Accepting new patients |
Locations
3170 Kettering Blvd
Bldg B
Moraine, OH 45439
Phone (937) 991-3187
450 N Hyatt St
Ste 302
Tipp City, OH 45371
Phone (937) 435-4263
3130 N County Road 25A
#109
Troy, OH 45373
Phone (937) 440-9292
3130 N County Road 25A
Ste 212
Troy, OH 45373
Phone (937) 335-0061
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/f17aed19-e2f6-49d4-bba0-64508a2357d2/
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.
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- NPI 1467433763
Hospital & facility affiliations 2
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": "1132099200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1942282736",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3130 N COUNTY ROAD 25A STE 109",
"city": "TROY",
"state": "OH",
"postal_code": "453731337",
"telephone_number": "937-440-9292",
"fax_number": "937-440-4227"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3130 N COUNTY ROAD 25A STE 109",
"city": "TROY",
"state": "OH",
"postal_code": "453731337",
"telephone_number": "937-440-9292",
"fax_number": "937-440-4227"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REED",
"first_name": "KENNETH",
"middle_name": "L.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-16",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "OH",
"license": "34008140",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MI",
"license": "5101016292",
"primary": false
},
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "OH",
"license": "34008140",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2523997",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Troy, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.