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KENNETH WAYNE BLUMENTHAL DO NPI 1427053255


NPI Information

NPI: 1427053255
Provider Name: KENNETH WAYNE BLUMENTHAL, DO
Classification: Family Medicine - 207Q00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
3125 WILLOWCREEK RD
PORTAGE, IN
ZIP 46368
Phone: (219) 762-3175
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Kenneth Wayne Blumenthal, DO is a family medicine in Portage, IN with 46 years of experience. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. Kenneth Wayne Blumenthal, DO NPI is 1427053255. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: MIDWESTERN UNIVERSITY, CHICAGO COLLEGE OF OSTEOPATHIC MED
Graduation Year:1978

The provider's business location address is:

3125 WILLOWCREEK RD
PORTAGE, IN
ZIP 46368-423
Phone: (219) 762-3175
Fax: (219) 763-3092

The NPI 1427053255 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Injection of allergenic extracts into skin, accessed through the skin (HCPCS:95004)
  • Preparation and provision of single or multiple antigens for allergen immunotherapy (HCPCS:95165)
  • Injection of incremental dosages of allergen, 2 or more injections (HCPCS:95117)
  • Measurement and graphic recording of total and timed exhaled air capacity (HCPCS:94010)
  • Administration of influenza virus vaccine (HCPCS:G0008)
  • Measurement and graphic recording of the amount and speed of breathed air, before and following medication administration (HCPCS:94060)

The enumeration date for this NPI number is 6/17/2005 and was last updated on 3/19/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily Medicine02000639INDIANAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
14157960001MEDICARE NSCINDIANA
2000000093874OTHERINDIANAAMTHEM BC/BS
3080152596OTHERINDIANARAILROAD MEDICARE
4E35229MEDICARE UPIN
5149070AMEDICARE ID-TYPE UNSPECIFIEDINDIANA
6100352990MEDICAIDINDIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.