KENTUCKY MEDICAL SPECIALISTS, PSC – NPI #1295090884
Internal Medicine

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

KENTUCKY MEDICAL SPECIALISTS, PSC is a provider located in LOUISVILLE, KY. NPPES has assigned the NPI number 1295090884 to KENTUCKY MEDICAL SPECIALISTS, PSC on July 10, 2012. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207R00000X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine.

The NPI profile was previously updated about 7 years ago on May 01, 2019. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for KENTUCKY MEDICAL SPECIALISTS, PSC below.

NPI Profile for
KENTUCKY MEDICAL SPECIALISTS, PSC

NPI Number
1295090884
Enumeration Date

(about 14 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
KENTUCKY MEDICAL SPECIALISTS, PSC
Primary location
4001 KRESGE WAY STE # 236
LOUISVILLE, KY 40207
Phone: (502) 893-7372 Fax: (502) 409-4715
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
MARLON CHAGUA
PRESIDENT
Phone: (502) 893-7372
Updated
Identifiers

Identifiers for KENTUCKY MEDICAL SPECIALISTS, PSC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDKY64063266
MEDICAIDKY7100235310
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207R00000X
- Internal Medicine (Primary)
363LA2200X
- Nurse Practitioner / Adult Health

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.