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DR. KEVIN HENNENHOEFER D.O.
NPI 1225483571
Neuromusculoskeletal Medicine & OMM in Durham, NC

Active since April 24, 2016Opted out of Medicare · through Apr 30, 2027
5107 SOUTHPARK DRIVE, SUITE 204, DURHAM, NC 27713(919) 706-1806(919) 300-5182 Get Directions Write a Review

NPPES record last updated: June 3, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Kevin Hennenhoefer D.o. NPPES

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

DR. KEVIN HENNENHOEFER D.O. (NPI 1225483571) is an individual neuromusculoskeletal medicine & omm provider in Durham, North Carolina, licensed in West Virginia (WV EDU) and active in the NPI registry since April 2016. He has opted out of Medicare through April 30, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1225483571
Entity TypeIndividualMale
Primary Taxonomy204D00000X
Provider Legal NameDR. KEVIN HENNENHOEFERCredential: D.O.
Location Address5107 SOUTHPARK DRIVE, SUITE 204Durham, NC 27713
Mailing Address5107 Southpark Drive, Suite 204Durham, NC 27713 · (919) 706-1806 · Fax (919) 300-5182
Phone(919) 706-1806
Fax(919) 300-5182
Sole ProprietorYes
Enumeration DateApril 24, 2016
Last NPPES UpdateJune 3, 2026
NPPES CertifiedJune 3, 2026
✔ NPI 1225483571 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNeuromusculoskeletal Medicine & OMMAllopathic & Osteopathic Physicians
Taxonomy Code204D00000X
License✔ Licensed in WV · WV EDU
Definition
The Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine physician directs special attention to the neuromusculoskeletal system and its interaction with other body systems. Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine encompasses increased knowledge and understanding of osteopathic principles and practice and heightened technical skills of osteopathic manipulative medicine, and integrates each of these into the management of pediatric, adolescent, adult, and geriatric patients.
5107 SOUTHPARK DRIVE, Durham, NC 27713
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

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Opted out of Medicare

Dr. Kevin Hennenhoefer D.o. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 30, 2019 through April 30, 2027.

Opt-Out Effective DateApril 30, 2019
Opt-Out In Effect ThroughApril 30, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kevin Hennenhoefer's NPI number?

The NPI number for Kevin Hennenhoefer is 1225483571. It was assigned to this individual provider in the NPPES registry on April 24, 2016.

Where is Kevin Hennenhoefer located?

Kevin Hennenhoefer practices at 5107 Southpark Drive Suite 204, Durham, NC 27713. The listed phone number is (919) 706-1806.

What is Kevin Hennenhoefer's specialty?

The primary specialty registered for this NPI is Neuromusculoskeletal Medicine & OMM with taxonomy code 204D00000X.

Is Kevin Hennenhoefer enrolled in Medicare?

No. Kevin Hennenhoefer has opted out of Medicare through April 30, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Kevin Hennenhoefer was last updated on June 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.