KENNETH L PENNINGTON M.D.
NPI 1144200684
Internal Medicine - Medical Oncology in Goshen, IN

Q: What is Kenneth Pennington's NPI number?

The NPI number for Kenneth Pennington is 1144200684. It was assigned to this individual provider in the NPPES registry on January 19, 2006.

Q: What is Kenneth Pennington's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Medical Oncology, with taxonomy code 207RX0202X.

Active since January 19, 2006PECOS Enrolled

200 HIGH PARK AVE, GOSHEN, IN 46526(574) 535-2888 Get Directions Write a Review

NPPES record last updated: March 11, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 11, 2019, Mar 1, 2017 (2 updates tracked since 2017).

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About Kenneth L Pennington M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KENNETH L PENNINGTON M.D. (NPI 1144200684) is an individual medical oncology provider in Goshen, Indiana, licensed in Indiana (01024970A) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1144200684

Entity TypeIndividualMale

Primary Taxonomy207RX0202X

Provider Legal NameKENNETH L PENNINGTONCredential: M.D.

Location Address200 HIGH PARK AVEGoshen, IN 46526-4810

Mailing Address3702 New Vision Dr, Bldg BFort Wayne, IN 46845-1703 · (260) 266-8210 · Fax (574) 364-2759

Phone(574) 535-2888

Sole ProprietorNo

Enumeration DateJanuary 19, 2006

Last NPPES UpdateMarch 11, 20192 updates tracked since enumeration

✔ NPI 1144200684 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Medical OncologyAllopathic & Osteopathic Physicians

Taxonomy Code207RX0202X

License✔ Licensed in IN · 01024970A

Definition

An internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer.

Also ListedSpecialistTaxonomy 174400000X · License 01024970 (IN)

200 HIGH PARK AVE, Goshen, IN 46526

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Other Identifiers 1

Medicaid100138820IN

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kenneth L Pennington M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46526 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$161.76 typical visit price

range $53.07 – $161.76

Typical copayment $40.44 (range $13.26 – $40.44)

Most-billed visit code 99205

Established Patient

$94.22 typical visit price

range $16.93 – $132.22

Typical copayment $23.55 (range $4.23 – $33.05)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JOHNATHON THOMAS CLIFTON

Physician Assistant