DR. ALEXANDER MARK PENNEKAMP DO
NPI 1790246981
Internal Medicine - Nephrology in Cincinnati, OH

Q: What is Alexander Pennekamp's NPI number?

The NPI number for Alexander Pennekamp is 1790246981. It was assigned to this individual provider in the NPPES registry on March 29, 2019.

Q: What is Alexander Pennekamp's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Active since March 29, 2019PECOS EnrolledAccepts Medicare Assignment

2123 AUBURN AVE STE 404, CINCINNATI, OH 45219(513) 241-5630(513) 241-7146 Get Directions Write a Review

NPPES record last updated: May 27, 2026. Verified against the NPPES registry weekly; last sync: September 27, 2026.

Record update history: May 27, 2026, Jan 12, 2026, Apr 24, 2019 (3 updates tracked since 2019).

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About Dr. Alexander Mark Pennekamp Do NPPES

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

DR. ALEXANDER MARK PENNEKAMP DO (NPI 1790246981) is an individual nephrology provider in Cincinnati, Ohio, licensed in Ohio (34.015436) and active in the NPI registry since March 2019. He is enrolled in Medicare PECOS, is affiliated with St Elizabeth Edgewood, and maintains a secondary practice location in Cincinnati.

NPPES Registry Identity

NPI1790246981

Entity TypeIndividualMale

Primary Taxonomy207RN0300X

Provider Legal NameDR. ALEXANDER MARK PENNEKAMPCredential: DO

Location Address2123 AUBURN AVE STE 404Cincinnati, OH 45219-2906

Mailing Address2123 Auburn Ave Ste 404Cincinnati, OH 45219-2906 · (513) 241-5630 · Fax (513) 241-7146

Phone(513) 241-5630

Fax(513) 241-7146

Sole ProprietorNo

Medical School CMSOhio University, College Of Osteopathic MedicineGraduated 2017

Enumeration DateMarch 29, 2019

Last NPPES UpdateMay 27, 20263 updates tracked since enumeration

NPPES CertifiedMay 27, 2026

✔ NPI 1790246981 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians

Taxonomy Code207RN0300X

License✔ Licensed in OH · 34.015436

Definition

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

Also ListedInternal MedicineTaxonomy 207R00000X · License 34.015436 (OH)

2123 AUBURN AVE STE 404, Cincinnati, OH 45219

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Secondary Practice Location 1

Location 1375 Dixmyth Ave # 5Cincinnati, OH 45220-2475 · Phone (513) 862-1800 · Fax (513) 793-4523

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Alexander Mark Pennekamp Do is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3870825011

PECOS Enrollment IDI20250612002851, I20250612002929

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.

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Elizabeth Edgewood

Acute Care Hospitals · Edgewood, KY

5/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number180035

Location1 Medical Village DriveEdgewood, KY 41017 · Kenton County

Emergency services Birthing friendly

The Jewish Hospital-Mercy Health

Acute Care Hospitals · Cincinnati, OH

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360016

Location4777 East Galbraith RoadCincinnati, OH 45236 · Hamilton County

Emergency services

Good Samaritan Hospital

Acute Care Hospitals · Cincinnati, OH

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360134

Location375 Dixmyth AvenueCincinnati, OH 45220 · Hamilton County

Emergency services Birthing friendly

Christ Hospital

Acute Care Hospitals · Cincinnati, OH

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360163

Location2139 Auburn AvenueCincinnati, OH 45219 · Hamilton County

Emergency services Birthing friendly

Bethesda North

Acute Care Hospitals · Cincinnati, OH

3/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number360179

Location10500 Montgomery RoadCincinnati, OH 45242 · Hamilton County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45219 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

$126.12 typical visit price

range $54.34 – $166.65

Typical copayment $31.53 (range $13.58 – $41.66)

Most-billed visit code 99204

Established Patient

$96.44 typical visit price

range $17.10 – $135.40

Typical copayment $24.11 (range $4.27 – $33.85)

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 10

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

MR. SHAHUL HAMEED VALAVOOR M.D.

Internal Medicine (Nephrology)