GEORGETOWN CARDIOLOGY
NPI 1093051807
Internal Medicine - Interventional Cardiology in Georgetown, KY

Active since December 26, 2012CLIA 18D2024210 · Waiver
1154 LEXINGTON RD, GEORGETOWN, KY 40324(502) 863-3329(502) 863-3303 Get Directions Write a Review

NPPES record last updated: March 2, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Georgetown Cardiology NPPES

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

GEORGETOWN CARDIOLOGY (NPI 1093051807) is a healthcare organization registered as an interventional cardiology in Georgetown, Kentucky and active in the NPI registry since December 2012. The organization holds a CLIA Waiver certificate valid through May 11, 2027 and lists Monica Bowman, Vice President, as its authorized official.

NPPES Registry Identity

NPI1093051807
Entity TypeOrganization
Primary Taxonomy207RI0011X
Legal Business NameKENTUCKY MSO LLC
Location Address1154 LEXINGTON RDGeorgetown, KY 40324-9330
Mailing Address1154 Lexington RdGeorgetown, KY 40324-9330 · (502) 863-3329 · Fax (502) 863-3303
Fax(502) 863-3303
Organization SubpartNo
Authorized OfficialMonica BowmanVice President · (615) 920-7000
Enumeration DateDecember 26, 2012
Last NPPES UpdateMarch 2, 2023
NPPES CertifiedMarch 2, 2023
✔ NPI 1093051807 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyInternal Medicine · Interventional CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code207RI0011X
Definition
An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.
Also ListedInternal MedicineTaxonomy 207R00000X
Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X
Also ListedPhysician AssistantTaxonomy 363A00000X
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
1154 LEXINGTON RD, Georgetown, KY 40324

Other Names 1

Doing Business AsGeorgetown Cardiology

Group Practice 2

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP
Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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)

Georgetown Cardiology is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

92

Medicare enrollment records show 92 clinicians reassign Medicare billing to Georgetown Cardiology, which bills Medicare for the services they deliver. Of these, 29 practice within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 22

Nurse Practitioner38
Family Practice8
General Surgery8
Pediatric Medicine6
Radiation Oncology4
Internal Medicine3
Pulmonary Disease3
Urology3
14 other specialties19

Nearest to this location (20)

See all 92
Anesthesiology
NPI 1891055877
1140 LEXINGTON RD
Georgetown, KY 40324
(502) 570-3767
✔ PECOS✔ Accepts Medicare0.1 mi
Cardiovascular Disease (Cardiology)
NPI 1144315102
1140 LEXINGTON RD
Georgetown, KY 40324
(502) 863-3303
✔ PECOS✔ Accepts Medicare0.1 mi
Nurse Practitioner
NPI 1871045856
1140 LEXINGTON RD
Georgetown, KY 40324
(502) 868-1100
✔ PECOS✔ Accepts Medicare0.1 mi
Family Practice
NPI 1427098250
1138 LEXINGTON RD STE 130
Georgetown, KY 40324
(502) 867-0222
✔ PECOS✔ Accepts Medicare0.1 mi
Nurse Practitioner
NPI 1790222354
1140 LEXINGTON RD STE 203
Georgetown, KY 40324
(502) 570-3757
✔ PECOS✔ Accepts Medicare0.2 mi
Medical Oncology
NPI 1013141431
1140 LEXINGTON RD SUITE 202
Georgetown, KY 40324
(502) 868-1100
✔ PECOS✔ Accepts Medicare0.2 mi
General Surgery
NPI 1558468462
1138 LEXINGTON RD SUITE 230
Georgetown, KY 40324
(502) 570-3778
✔ PECOS✔ Accepts Medicare0.2 mi
Nurse Practitioner
NPI 1518336445
1138 LEXINGTON RD SUITE 140
Georgetown, KY 40324
(502) 570-3721
✔ PECOS✔ Accepts Medicare0.2 mi
Family Practice
NPI 1063497113
1138 LEXINGTON RD STE 130
Georgetown, KY 40324
(502) 867-0222
✔ PECOS0.2 mi
Family Practice
NPI 1578613030
1138 LEXINGTON RD STE 290
Georgetown, KY 40324
(502) 863-0721
✔ PECOS✔ Accepts Medicare0.2 mi
Family Practice
NPI 1275978207
1138 LEXINGTON RD SUITE 130
Georgetown, KY 40324
(502) 867-0222
✔ PECOS✔ Accepts Medicare0.2 mi
Pulmonary Disease
NPI 1790888683
1138 LEXINGTON RD STE 230
Georgetown, KY 40324
(502) 570-3706
✔ PECOS0.2 mi
Infectious Disease
NPI 1255584223
1138 LEXINGTON RD STE 290
Georgetown, KY 40324
(502) 863-0721
✔ PECOS✔ Accepts Medicare0.2 mi
Nurse Practitioner
NPI 1770288169
1138 LEXINGTON RD STE 230A
Georgetown, KY 40324
(502) 570-3721
✔ PECOS✔ Accepts Medicare0.2 mi
Family Practice
NPI 1154306207
1138 LEXINGTON ROAD SUITE 130
Georgetown, KY 40324
(502) 867-0222
✔ PECOS✔ Accepts Medicare0.2 mi
Nurse Practitioner
NPI 1164140695
1138 LEXINGTON RD STE 230A
Georgetown, KY 40324
(502) 570-3721
✔ PECOS✔ Accepts Medicare0.2 mi
Registered Dietitian or Nutrition Professional
NPI 1003510132
1002 LEXINGTON RD STE 25B
Georgetown, KY 40324
(502) 735-4577
0.3 mi
Pediatric Medicine
NPI 1245896224
196 BEVINS LN STE F
Georgetown, KY 40324
(502) 863-2818
✔ PECOS0.5 mi
Internal Medicine
NPI 1265640411
196 BEVINS LN SUITE F
Georgetown, KY 40324
(502) 863-2818
✔ PECOS✔ Accepts Medicare0.5 mi
Internal Medicine
NPI 1235292343
196 BEVINS LN F
Georgetown, KY 40324
(502) 863-2818
✔ PECOS✔ Accepts Medicare0.6 mi
See all 92 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 18D2024210

Kentucky Mso, LLC Dba Bluegrass Business Health - Georgetown · Georgetown, KY
Active · expires May 11, 2027
CLIA Number18D2024210
Laboratory TypeOccupational Health Clini
Certificate Effective DateMay 12, 2025
Certificate Expiration DateMay 11, 2027
Laboratory DirectorDr. Henry R. Preston
Laboratory Phone(502) 570-7953
Laboratory LocationKentucky Mso, LLC Dba Bluegrass Business Health - Georgetown1002 Lexington Road Ste 21, Georgetown, KY 40324
CLIA data matches this NPI record on: Name
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 Kentucky Mso LLC's NPI number?

The NPI number for Kentucky Mso LLC is 1093051807. It was assigned to this organization in the NPPES registry on December 26, 2012. The provider is doing business as Georgetown Cardiology.

Where is Kentucky Mso LLC located?

Kentucky Mso LLC is located at 1154 Lexington Rd, Georgetown, KY 40324. The listed phone number is (502) 863-3329.

What is Kentucky Mso LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Interventional Cardiology, with taxonomy code 207RI0011X.

Is Kentucky Mso LLC enrolled in Medicare?

Yes. Kentucky Mso LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Kentucky Mso LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 92 clinicians in 22 Medicare specialties reassign their Medicare billing to Kentucky Mso LLC. 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 (38), Family Practice (8) and General Surgery (8). Of these, 29 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Kentucky Mso LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 18D2024210) is associated with this NPI, valid through May 11, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Kentucky Mso LLC accept?

Health plans from Anthem Blue Cross and Blue Shield list Kentucky Mso LLC 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 Kentucky Mso LLC was last updated on March 2, 2023. 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.