COGENT HEALTHCARE OF KENTUCKY, PSC
NPI 1053362293
Internal Medicine in Lexington, KY

Active since May 12, 2006
1 SAINT JOSEPH DR, LEXINGTON, KY 40504(859) 313-1000 Get Directions Write a Review

NPPES record last updated: June 4, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 4, 2026, Mar 7, 2025, Sep 18, 2024 (3 updates tracked since 2024).

About Cogent Healthcare Of Kentucky, Psc NPPES

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

COGENT HEALTHCARE OF KENTUCKY, PSC (NPI 1053362293) is a healthcare organization registered as an internal medicine in Lexington, Kentucky and active in the NPI registry since May 2006. The organization lists Laura Fall, Manager, as its authorized official.

NPPES Registry Identity

NPI1053362293
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameCOGENT HEALTHCARE OF KENTUCKY, PSC
Location Address1 SAINT JOSEPH DRLexington, KY 40504-3742
Mailing Address1222 Demonbreun St Ste 1601Nashville, TN 37203-7092 · (253) 682-6040 · Fax (888) 241-1404
Organization SubpartNo
Authorized OfficialLaura FallManager · (253) 682-6040
Enumeration DateMay 12, 2006
Last NPPES UpdateJune 4, 20263 updates tracked since enumeration
NPPES CertifiedJune 4, 2026
✔ NPI 1053362293 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
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.
Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedHospitalistTaxonomy 208M00000X
Also ListedPhysician AssistantTaxonomy 363A00000X
Also ListedNurse PractitionerTaxonomy 363L00000X
1 SAINT JOSEPH DR, Lexington, KY 40504

Other Identifiers 2

Other000000392108KY · Bcbs Ky
Medicaid65945123KY

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Cogent Healthcare Of Kentucky, Psc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by February 28, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateKentuckyEnrollment IDO20060124000434Non-DME Part B · Clinic/Group PracticeDue dateFebruary 28, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

236

Medicare enrollment records show 236 clinicians reassign Medicare billing to Cogent Healthcare Of Kentucky, Psc, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 27 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 16

Internal Medicine89
Nurse Practitioner79
Hospitalist33
Family Practice18
Nephrology3
Anesthesiology2
Emergency Medicine2
Pulmonary Disease2
8 other specialties8

Nearest to this location (20)

See all 236
Nurse Practitioner
NPI 1710409222
1 SAINT JOSEPH DR
Lexington, KY 40504
(859) 313-1000
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1255820833
1 SAINT JOSEPH DR
Lexington, KY 40504
(859) 313-1000
✔ PECOS✔ Accepts Medicare0.1 mi
Internal Medicine
NPI 1932632528
1 SAINT JOSEPH DR
Lexington, KY 40504
(859) 313-1000
✔ PECOS✔ Accepts Medicare0.1 mi
Hospitalist
NPI 1427115179
1 SAINT JOSEPH DR
Lexington, KY 40504
(859) 313-2963
✔ PECOS✔ Accepts Medicare0.1 mi
Hospitalist
NPI 1851378327
1401 HARRODSBURG RD SUITE A440
Lexington, KY 40504
(859) 278-4172
✔ PECOS0.2 mi
Hospitalist
NPI 1790765691
1401 HARRODSBURG RD A440
Lexington, KY 40504
(859) 278-4172
✔ PECOS✔ Accepts Medicare0.2 mi
Hospitalist
NPI 1346208071
1401 HARRODSBURG RD SUITE A440
Lexington, KY 40504
(859) 278-4172
✔ PECOS0.2 mi
Hospitalist
NPI 1629259403
1401 HARRODSBURG RD
Lexington, KY 40504
(859) 313-2963
✔ PECOS✔ Accepts Medicare0.2 mi
Pulmonary Disease
NPI 1639576838
1401 HARRODSBURG RD STE C405
Lexington, KY 40504
(859) 276-4429
✔ PECOS✔ Accepts Medicare0.3 mi
Nurse Practitioner
NPI 1538739602
UK WOMEN'S HEALTH OBSTETRICS AND GYNECOLOGY 125 E MAXWELL ST
Lexington, KY 40536
(859) 323-0005
✔ PECOS✔ Accepts Medicare0.7 mi
Nurse Practitioner
NPI 1255784047
UK HEALTHCARE-ICU 800 ROSE ST
Lexington, KY 40536
(859) 323-9057
✔ PECOS✔ Accepts Medicare0.7 mi
Nurse Practitioner
NPI 1669924296
UK DIVISION OF HOSPITAL MEDICINE 800 ROSE STREET, MN604
Lexington, KY 40536
(859) 323-6047
✔ PECOS✔ Accepts Medicare0.7 mi
Nurse Practitioner
NPI 1114613429
800 ROSE ST
Lexington, KY 40536
(859) 323-5956
✔ PECOS✔ Accepts Medicare0.8 mi
Hospitalist
NPI 1184204406
800 ROSE ST
Lexington, KY 40536
(859) 323-6047
✔ PECOS✔ Accepts Medicare0.8 mi
Family Practice
NPI 1801059399
496 SOUTHLAND DR
Lexington, KY 40503
(859) 288-2425
✔ PECOS✔ Accepts Medicare0.9 mi
Nurse Practitioner
NPI 1285739797
1608 HILL RISE DR
Lexington, KY 40504
(859) 338-3958
✔ PECOS✔ Accepts Medicare1.2 mi
Hospitalist
NPI 1912990953
2108 NICHOLASVILLE RD
Lexington, KY 40503
(859) 278-9413
✔ PECOS✔ Accepts Medicare1.5 mi
Nephrology
NPI 1558593210
185 PASADENA DR STE 110
Lexington, KY 40503
(859) 785-3828
✔ PECOS✔ Accepts Medicare1.9 mi
Internal Medicine
NPI 1528366457
1112 PARLIAMENT WAY
Lexington, KY 40517
(859) 489-4463
✔ PECOS✔ Accepts Medicare3.9 mi
Family Practice
NPI 1619978566
4071 TATES CREEK CENTRE DR SUITE 100
Lexington, KY 40517
(859) 273-3888
✔ PECOS✔ Accepts Medicare4.2 mi
See all 236 clinicians

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 Cogent Healthcare Of Kentucky, Psc's NPI number?

The NPI number for Cogent Healthcare Of Kentucky, Psc is 1053362293. It was assigned to this organization in the NPPES registry on May 12, 2006.

Where is Cogent Healthcare Of Kentucky, Psc located?

Cogent Healthcare Of Kentucky, Psc is located at 1 Saint Joseph Dr, Lexington, KY 40504. The listed phone number is (859) 313-1000.

What is Cogent Healthcare Of Kentucky, Psc's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Cogent Healthcare Of Kentucky, Psc enrolled in Medicare?

Yes. Cogent Healthcare Of Kentucky, Psc is registered in the Medicare PECOS enrollment system.

When is Cogent Healthcare Of Kentucky, Psc's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Kentucky, Clinic/Group Practice) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Cogent Healthcare Of Kentucky, Psc?

According to the CMS Revalidation Reassignment List (October 2026 release), 236 clinicians in 16 Medicare specialties reassign their Medicare billing to Cogent Healthcare Of Kentucky, Psc. 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 Internal Medicine (89), Nurse Practitioner (79) and Hospitalist (33). Of these, 1 practice at this address and 27 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Cogent Healthcare Of Kentucky, Psc accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter of Tennessee and Anthem Blue Cross and Blue Shield list Cogent Healthcare Of Kentucky, Psc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Cogent Healthcare Of Kentucky, Psc was last updated on June 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.