MEANS ADULT PRIMARY CARE CLINIC OF KENTUCKY PLLC
NPI 1124665807
Clinic/Center - Rural Health in Winchester, KY
About Means Adult Primary Care Clinic Of Kentucky Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MEANS ADULT PRIMARY CARE CLINIC OF KENTUCKY PLLC (NPI 1124665807) is a healthcare organization registered as a rural health in Winchester, Kentucky and active in the NPI registry since December 2019. The organization holds 2 active CLIA laboratory certificates and lists Rezkalla Butros, Md/owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
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)
Means Adult Primary Care Clinic Of Kentucky Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
7Medicare enrollment records show 7 clinicians reassign Medicare billing to Means Adult Primary Care Clinic Of Kentucky PLLC, which bills Medicare for the services they deliver. They are listed nearest first.
Clinicians, nearest first (7)
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 2
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 18D1008738
Means Adult Primary Care Clinic · Mount Sterling, KYCertificate of Waiver 18D1107521
Means Adult Primary Care Of Kentucky, PLLC · Winchester, KYFrequently 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 Means Adult Primary Care Clinic Of Kentucky PLLC's NPI number?
The NPI number for Means Adult Primary Care Clinic Of Kentucky PLLC is 1124665807. It was assigned to this organization in the NPPES registry on December 2, 2019.
Where is Means Adult Primary Care Clinic Of Kentucky PLLC located?
Means Adult Primary Care Clinic Of Kentucky PLLC is located at 1145 W Lexington Ave Fl 2, Winchester, KY 40391. The listed phone number is (859) 744-0301.
What is Means Adult Primary Care Clinic Of Kentucky PLLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.
Is Means Adult Primary Care Clinic Of Kentucky PLLC enrolled in Medicare?
Yes. Means Adult Primary Care Clinic Of Kentucky PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Means Adult Primary Care Clinic Of Kentucky PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians in 2 Medicare specialties reassign their Medicare billing to Means Adult Primary Care Clinic Of Kentucky PLLC. 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 (5) and Internal Medicine (2). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Means Adult Primary Care Clinic Of Kentucky PLLC hold CLIA laboratory certificates?
Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.
What insurance does Means Adult Primary Care Clinic Of Kentucky PLLC accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter of Tennessee and Anthem Blue Cross and Blue Shield list Means Adult Primary Care Clinic Of Kentucky PLLC 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 Means Adult Primary Care Clinic Of Kentucky PLLC was last updated on May 31, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Means Adult Primary Care Clinic Of Kentucky Pllc · NPI 1124665807
Rural Health organization in Winchester, Kentucky. Organization record, active in the CMS NPPES registry since December 2, 2019.
## Identity
- **NPI:** 1124665807 (Entity type: Organization)
- **Enumerated:** December 2, 2019
- **Primary specialty:** Clinic/Center - Rural Health · taxonomy 261QR1300X
- **Organization subpart:** No
- **Authorized official:** Rezkalla Butros, MD/OWNER
## Practice location
- **Address:** 1145 W LEXINGTON AVE FL 2, Winchester, KY 40391-1290
- **Phone:** (859) 744-0301 · **Fax:** (859) 744-0608
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 7 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (5), Internal Medicine (2) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 31, 2024
- **Other identifiers:** Medicaid 7100977320 (KY)
- **CLIA laboratory certificates:** 2 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1124665807) · Data from the CMS NPPES public registry.