OWENSBORO HEALTH MEDICAL GROUP - CARDIOLOGY
NPI 1053810036
Internal Medicine - Cardiovascular Disease in Owensboro, KY

Active since February 06, 2018CLIA 18D0873964 · Waiver
1201 PLEASANT VALLEY RD, OWENSBORO, KY 42303(270) 417-7500(270) 417-7509 Get Directions Write a Review

NPPES record last updated: December 1, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 1, 2022, May 4, 2022, Mar 17, 2018 (3 updates tracked since 2018).

About Owensboro Health Medical Group - Cardiology NPPES

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

OWENSBORO HEALTH MEDICAL GROUP - CARDIOLOGY (NPI 1053810036) is a healthcare organization registered as a cardiovascular disease in Owensboro, Kentucky and active in the NPI registry since February 2018. The organization holds a CLIA Waiver certificate valid through July 24, 2028, maintains 3 additional practice locations, and lists Russell S Ranallo, Secretary, as its authorized official.

NPPES Registry Identity

NPI1053810036
Entity TypeOrganization
Primary Taxonomy207RC0000X
Legal Business NameOWENSBORO HEALTH MEDICAL GROUP, INC.
Location Address1201 PLEASANT VALLEY RDOwensboro, KY 42303-9811
Mailing AddressPo Box 23229Owensboro, KY 42304-3229 · (270) 688-1330 · Fax (270) 688-1330
Fax(270) 417-7509
Organization SubpartYesParent: Owensboro Health, Inc
Authorized OfficialRussell S RanalloSecretary · (270) 417-4813
Enumeration DateFebruary 6, 2018
Last NPPES UpdateDecember 1, 20223 updates tracked since enumeration
NPPES CertifiedDecember 1, 2022
✔ NPI 1053810036 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Also ListedInternal MedicineTaxonomy 207R00000X
1201 PLEASANT VALLEY RD, Owensboro, KY 42303

Other Names 1

Doing Business AsOwensboro Health Medical Group - Cardiology

Secondary Practice Locations 3

Location 12200 E Parrish Ave Bldg DOwensboro, KY 42303-1458 · Phone (270) 417-7500 · Fax (270) 417-7509
Location 21000 Breckenridge St Ste 101Owensboro, KY 42303-0840 · Phone (270) 417-7500 · Fax (270) 417-7509
Location 31006 Ford AveOwensboro, KY 42301-4677 · Phone (270) 417-7500 · Fax (270) 417-7509

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Owensboro Health Medical Group - Cardiology is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

641

Medicare enrollment records show 641 clinicians reassign Medicare billing to Owensboro Health Medical Group - Cardiology, which bills Medicare for the services they deliver. Of these, 49 practice at this address and 258 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 47

Nurse Practitioner193
Emergency Medicine55
Family Practice52
Internal Medicine51
Obstetrics/Gynecology39
Psychiatry22
General Surgery20
Pediatric Medicine20
39 other specialties189

Nearest to this location (20)

See all 641
Internal Medicine
NPI 1932467834
1201 PLEASANT VALLEY RD
Owensboro, KY 42303
(270) 417-4700
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1598865347
1201 PLEASANT VALLEY RD
Owensboro, KY 42303
(270) 417-5911
✔ PECOS✔ Accepts MedicareSame address
Pediatric Medicine
NPI 1881155737
1201 PLEASANT VALLEY RD FL 3
Owensboro, KY 42303
(270) 417-5390
✔ PECOSSame address
Nurse Practitioner
NPI 1639797368
1201 PLEASANT VALLEY RD
Owensboro, KY 42303
(270) 925-1214
✔ PECOSSame address
Nurse Practitioner
NPI 1295346856
1201 PLEASANT VALLEY RD
Owensboro, KY 42303
(270) 417-2000
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1902319254
1201 PLEASANT VALLEY RD FL 3
Owensboro, KY 42303
(270) 417-5390
✔ PECOSSame address
Pediatric Medicine
NPI 1922017953
1201 PLEASANT VALLEY RD FL 3
Owensboro, KY 42303
(270) 417-5390
✔ PECOSSame address
Internal Medicine
NPI 1609215078
1201 PLEASANT VALLEY RD
Owensboro, KY 42303
(270) 417-4700
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1134358161
1201 PLEASANT VALLEY RD
Owensboro, KY 42303
(270) 417-4700
✔ PECOS✔ Accepts MedicareSame address
Emergency Medicine
NPI 1306102769
1201 PLEASANT VALLEY RD
Owensboro, KY 42303
(502) 417-3791
✔ PECOS✔ Accepts MedicareSame address
Emergency Medicine
NPI 1871026492
1201 PLEASANT VALLEY RD
Owensboro, KY 42303
(270) 417-2000
✔ PECOSSame address
Internal Medicine
NPI 1992018485
1201 PLEASANT VALLEY RD
Owensboro, KY 42303
(270) 417-4700
✔ PECOS✔ Accepts MedicareSame address
Emergency Medicine
NPI 1285124404
1201 PLEASANT VALLEY RD
Owensboro, KY 42303
(270) 417-2000
✔ PECOSSame address
Hospitalist
NPI 1316395429
1201 PLEASANT VALLEY RD
Owensboro, KY 42303
(270) 417-2000
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1275585556
1201 PLEASANT VALLEY RD
Owensboro, KY 42303
(270) 417-5911
✔ PECOS✔ Accepts MedicareSame address
Pediatric Medicine
NPI 1710564646
1201 PLEASANT VALLEY RD
Owensboro, KY 42303
(270) 417-4705
✔ PECOS✔ Accepts MedicareSame address
Pediatric Medicine
NPI 1154767176
1201 PLEASANT VALLEY RD 7TH FLOOR
Owensboro, KY 42303
(270) 417-4705
✔ PECOSSame address
Emergency Medicine
NPI 1477086783
1201 PLEASANT VALLEY RD
Owensboro, KY 42303
(270) 929-6769
✔ PECOS✔ Accepts MedicareSame address
Pulmonary Disease
NPI 1518301514
1201 PLEASANT VALLEY RD
Owensboro, KY 42303
(270) 417-7515
✔ PECOS✔ Accepts MedicareSame address
Cardiovascular Disease (Cardiology)
NPI 1386731404
1201 PLEASANT VALLEY RD
Owensboro, KY 42303
(270) 417-7500
✔ PECOS✔ Accepts MedicareSame address
See all 641 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 18D0873964

Owensboro Health Medical Group Coag Clinic · Owensboro, KY
Active · expires Jul 24, 2028
CLIA Number18D0873964
Laboratory TypePhysician Office
Certificate Effective DateJuly 25, 2026
Certificate Expiration DateJuly 24, 2028
Laboratory DirectorDr. Johnny Makhoul
Laboratory Phone(270) 417-7500
Laboratory LocationOwensboro Health Medical Group Coag Clinic1301 Pleasant Valley Road, Suite 203, Owensboro, KY 42303
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Owensboro Health Medical Group, Inc.'s NPI number?

The NPI number for Owensboro Health Medical Group, Inc. is 1053810036. It was assigned to this organization in the NPPES registry on February 6, 2018. The provider is doing business as Owensboro Health Medical Group - Cardiology.

Where is Owensboro Health Medical Group, Inc. located?

Owensboro Health Medical Group, Inc. is located at 1201 Pleasant Valley Rd, Owensboro, KY 42303. The listed phone number is (270) 417-7500.

What is Owensboro Health Medical Group, Inc.'s specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Owensboro Health Medical Group, Inc. enrolled in Medicare?

Yes. Owensboro Health Medical Group, Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Owensboro Health Medical Group, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 641 clinicians in 47 Medicare specialties reassign their Medicare billing to Owensboro Health Medical Group, Inc.. 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 Nurse Practitioner (193), Emergency Medicine (55) and Family Practice (52). Of these, 49 practice at this address and 258 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Owensboro Health Medical Group, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 18D0873964) is associated with this NPI, valid through July 24, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Owensboro Health Medical Group, Inc. accept?

Health plans from Anthem Blue Cross and Blue Shield list Owensboro Health Medical Group, Inc. 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 Owensboro Health Medical Group, Inc. was last updated on December 1, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.