DR. RONALD J KEMBRO (D.O.) – Surgical Critical Care Physician, NPI 1407890015

DR. RONALD J KEMBRO (D.O.) is a healthcare provider. based in Fort campbell, Kentucky. specializing in GENERAL SURGERY, CRITICAL CARE (INTENSIVISTS). They hold the professional credentials D.O.. They hold a License No. DO.2452 (AL). The NPI Number for DR. RONALD J KEMBRO (D.O.) is 1407890015

Main info

Male
Sole Proprietor
21 Years Of Experience
Accepts Medicare Assignment
Name
DR. RONALD J KEMBRO (D.O.)
NPI
1407890015
Phone
(270) 956-2134
Address
650 JOEL DR
Enumeration Date
15 June 2006
Last Update Date
25 April 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2314874000
Graduation Year
2005 (21 years ago)
PAC ID
1850538455
Group Practice PAC ID
9931018181
Professional Enrollment ID
I20180724002066
Address ID
MI497702212PE416XXAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience94
Completeness75
Years active:19State licenses:4Digital endpointsOther names

539 GENERAL SURGERY in KY

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Provider Addresses for DR. RONALD J KEMBRO (D.O.)

  • Colonel Florence A Blanchfield Army Community Hospital, 650, Joel Drive, Clarksville, Montgomery County, Tennessee, 42223, United States

    ATTN: GENERAL SURGERY

    FORT CAMPBELL, KY 422235318

    Phone: (270) 956-2134

    Type: Mailing

  • 1010 E MITCHELL ST

    PETOSKEY, MI 497702636

    Phone: (915) 920-3066

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-08-31

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20180724002066IGeneral SurgeryMITBD
I20230831000117ICritical Care (Intensivists)FLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99291Critical care, first 30-74 minutes3322$0
View full utilization report →

Insurance plans in this area (ZIP 42223)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9931018181View full group profile
NameSpecialtyState
Interventional Cardiology, Cardiovascular Disease (Cardiology), Internal Medicine, Cardiovascular Disease (Cardiology)VA
Thoracic Surgery, Cardiac SurgeryMI
N E U R O L O G YMI
Physical Medicine And RehabilitationMI
Hospitalist, Internal MedicineMI
-MI
P S Y C H I A T R YOH
Internal Medicine, Geriatric MedicineMI
Sleep Medicine, Critical Care (Intensivists), Pulmonary DiseaseMI
Physician AssistantMI

Reviews

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Frequently asked questions

What NPI should I save for DR. RONALD J KEMBRO (D.O.)?
Save NPI 1407890015 if you need a stable reference for DR. RONALD J KEMBRO (D.O.).
Is DR. RONALD J KEMBRO (D.O.) active in the national directory?
DR. RONALD J KEMBRO (D.O.)'s public NPI profile is in an active state.
What kind of provider is DR. RONALD J KEMBRO (D.O.)?
The page reflects Surgical Critical Care Physician for DR. RONALD J KEMBRO (D.O.). Clinical services aligned with this taxonomy classification.
Does DR. RONALD J KEMBRO (D.O.) practice in Kentucky?
You will see Fort Campbell, Kentucky on file for DR. RONALD J KEMBRO (D.O.) alongside any extra practice locations.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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