KHAY DOUANGDARA APRN, DNP
NPI 1104626746
Nurse Practitioner - Acute Care in Lexington, KY

Active since March 13, 2025PECOS EnrolledAccepts Medicare Assignment
1000 S LIMESTONE, LEXINGTON, KY 40536(859) 323-9057(859) 323-9502 Get Directions Write a Review

NPPES record last updated: July 15, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 24, 2025, Mar 13, 2025 (2 updates tracked since 2025).

About Khay Douangdara Aprn, Dnp NPPES

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

KHAY DOUANGDARA APRN, DNP (NPI 1104626746) is an individual acute care provider in Lexington, Kentucky, licensed in Kentucky (3018479) and active in the NPI registry since March 2025. He is enrolled in Medicare PECOS, is affiliated with University Of Kentucky Hospital, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1104626746
Entity TypeIndividualMale
Primary Taxonomy363LA2100X
Provider Legal NameKHAY DOUANGDARACredential: APRN, DNP
Location Address1000 S LIMESTONELexington, KY 40536-0001
Mailing Address1000 S LimestoneLexington, KY 40536-0001
Fax(859) 323-9502
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateMarch 13, 2025
Last NPPES UpdateJuly 15, 20252 updates tracked since enumeration
NPPES CertifiedJuly 15, 2025
NPI 1104626746 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License Licensed in KY · 3018479
Also ListedNurse PractitionerTaxonomy 363L00000X · License 3018479 (KY)
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 3018479 (KY)
1000 S LIMESTONE, Lexington, KY 40536

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Khay Douangdara Aprn, Dnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3577078088
PECOS Enrollment IDI20250714003820
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

University Of Kentucky Hospital

Acute Care Hospitals · Lexington, KY
3/5 CMS rating
OwnershipGovernment - State
CMS Certification Number180067
Location800 Rose StreetLexington, KY 40536 · Fayette County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40536 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine (Pulmonary Disease)
1000 S LIMESTONE
LEXINGTON, KY 40536
Physician Assistant
1000 S LIMESTONE
LEXINGTON, KY 40536
Physician Assistant
1000 S LIMESTONE
LEXINGTON, KY 40536
Pharmacist
1000 S LIMESTONE
LEXINGTON, KY 40536
Pharmacist
1000 S LIMESTONE
LEXINGTON, KY 40536
Specialist/Technologist, Other (Surgical Assistant)
1000 S LIMESTONE
LEXINGTON, KY 40536
Physician Assistant
1000 S LIMESTONE
LEXINGTON, KY 40536
Nurse Practitioner (Acute Care)
1000 S LIMESTONE
LEXINGTON, KY 40536

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 Khay Douangdara's NPI number?

The NPI number for Khay Douangdara is 1104626746. It was assigned to this individual provider in the NPPES registry on March 13, 2025.

Where is Khay Douangdara located?

Khay Douangdara practices at 1000 S Limestone, Lexington, KY 40536. The listed phone number is (859) 323-9057.

What is Khay Douangdara's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Khay Douangdara enrolled in Medicare?

Yes. Khay Douangdara is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Khay Douangdara affiliated with any hospitals?

According to CMS data, Khay Douangdara is affiliated with University Of Kentucky Hospital.

When was this NPI record last updated?

The NPPES record for Khay Douangdara was last updated on July 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.