KENTUCKYONE HEALTH MEDICAL GROUP, INC. – NPI #1902238694
General Practice

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

KENTUCKYONE HEALTH MEDICAL GROUP, INC. is a provider located in LEXINGTON, KY. NPPES has assigned the NPI number 1902238694 to KENTUCKYONE HEALTH MEDICAL GROUP, INC. on August 05, 2013. 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 208D00000X from the Health Care Provider Taxonomy code set, which is classified as General Practice. Bear in mind that having a taxonomy code selected doesn't replace any credentialing or validation process that may be required by law.

The NPI profile was last updated on Aug 14, 2025. 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 KENTUCKYONE HEALTH MEDICAL GROUP, INC. below.

NPI Profile for
KENTUCKYONE HEALTH MEDICAL GROUP, INC.

NPI Number
1902238694
Enumeration Date

(about 13 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
KENTUCKYONE HEALTH MEDICAL GROUP, INC.
Primary location
1401 HARRODSBURG RD
LEXINGTON, KY 40504-3751
Phone: (606) 330-7835 Fax: (606) 330-7825
Mailing address
PO BOX 936
LONDON, KY 40743-0936
Phone: (606) 330-7835 Fax: (606) 330-7825
Organization Subpart
No
Authorized Official
CARMEL JONES
COO
Phone: (859) 313-1713
Updated
Certification Date
Aug 14, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for KENTUCKYONE HEALTH MEDICAL GROUP, INC.

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.

See identifiers
DescriptionIssuerStateIdentifier
otherANTHEM GRP #KY000000060604
medicaidIN200434820A
medicaidKY7100200890 (PA)
medicaidKY7100247000 (SFM-SHE)
medicaidKY7100200840 (LCSW)
medicaidKY7100200870 (MD)
medicaidKY7100225220 (FFM)
medicaidKY7100246920 (SALEEM)
medicaidKY78904851 (NP)
medicaidKY7100161650 (FRAZIER)
medicaidKY7100200880 (CRNA)
medicaidKY7100292390 (DPM)
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.

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.