KEN HOMOLYA MD LLC
NPI 1619266814
Pain Medicine - Pain Medicine in Hendersonville, TN
About Ken Homolya Md Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KEN HOMOLYA MD LLC (NPI 1619266814) is a healthcare organization registered as a pain medicine in Hendersonville, Tennessee and active in the NPI registry since March 2011. The organization maintains a secondary practice location in Hendersonville and lists Kenneth Michael Homolya, Owner / Physician, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Other Identifiers 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Ken Homolya Md Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
10Medicare enrollment records show 10 clinicians reassign Medicare billing to Ken Homolya MD LLC, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 2
Clinicians, nearest first (10)
Hendersonville, TN 37075
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Ken Homolya MD LLC's NPI number?
The NPI number for Ken Homolya MD LLC is 1619266814. It was assigned to this organization in the NPPES registry on March 29, 2011.
Where is Ken Homolya MD LLC located?
Ken Homolya MD LLC is located at 625 Johnny Cash Blvd Ste 3, Hendersonville, TN 37075. The listed phone number is (615) 431-5484.
What is Ken Homolya MD LLC's specialty?
The primary specialty registered for this NPI is Pain Medicine with taxonomy code 208VP0000X.
Is Ken Homolya MD LLC enrolled in Medicare?
Yes. Ken Homolya MD LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Ken Homolya MD LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 10 clinicians in 2 Medicare specialties reassign their Medicare billing to Ken Homolya MD LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (9) and Pain Management (1). Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Ken Homolya MD LLC was last updated on December 14, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.
# Ken Homolya Md Llc · NPI 1619266814
Pain Medicine organization in Hendersonville, Tennessee. Organization record, active in the CMS NPPES registry since March 29, 2011.
## Identity
- **NPI:** 1619266814 (Entity type: Organization)
- **Enumerated:** March 29, 2011
- **Primary specialty:** Pain Medicine - Pain Medicine · taxonomy 208VP0000X
- **Organization subpart:** No
- **Authorized official:** Kenneth Homolya, OWNER / PHYSICIAN
## Practice location
- **Address:** 625 JOHNNY CASH BLVD STE 3, Hendersonville, TN 37075-2602
- **Phone:** (615) 431-5484 · **Fax:** (615) 447-5959
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 10 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (9), Pain Management (1); 2 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 14, 2020
- **Other identifiers:** Medicaid PENDING (TN)
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Source: [NPI Profile](https://npiprofile.com/npi/1619266814) · Data from the CMS NPPES public registry.