GASTROENTEROLOGY AND HEPATOLOGY OF THE BLUEGRASS
NPI 1164867883
Internal Medicine - Gastroenterology in Georgetown, KY
About Gastroenterology And Hepatology Of The Bluegrass NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GASTROENTEROLOGY AND HEPATOLOGY OF THE BLUEGRASS (NPI 1164867883) is a healthcare organization registered as a gastroenterology in Georgetown, Kentucky and active in the NPI registry since May 2013. The organization holds a CLIA Waiver certificate valid through October 30, 2027, maintains a secondary practice location in Winchester, and lists Monica Bowman, Corporate Secretary, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 5
Other Names 1
Secondary Practice Location 1
Group Practice 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)
Gastroenterology And Hepatology Of The Bluegrass is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
92Medicare enrollment records show 92 clinicians reassign Medicare billing to Gastroenterology And Hepatology Of The Bluegrass, which bills Medicare for the services they deliver. Of these, 13 practice at this address and 29 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 22
Nearest to this location (20)
See all 92Georgetown, KY 40324
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 18D2151317
Gastroenterology And Hepatology Of The Bluegrass · Georgetown, 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 Kentucky Mso LLC's NPI number?
The NPI number for Kentucky Mso LLC is 1164867883. It was assigned to this organization in the NPPES registry on May 8, 2013. The provider is doing business as Gastroenterology And Hepatology Of The Bluegrass.
Where is Kentucky Mso LLC located?
Kentucky Mso LLC is located at 1138 Lexington Rd Suite 140, Georgetown, KY 40324. The listed phone number is (502) 570-3721.
What is Kentucky Mso LLC's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.
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, 13 practice at this address and 29 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 18D2151317) is associated with this NPI, valid through October 30, 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 April 21, 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.
# Gastroenterology And Hepatology Of The Bluegrass · NPI 1164867883
Gastroenterology organization in Georgetown, Kentucky. Organization record, active in the CMS NPPES registry since May 8, 2013.
## Identity
- **NPI:** 1164867883 (Entity type: Organization)
- **Enumerated:** May 8, 2013
- **Primary specialty:** Internal Medicine - Gastroenterology · taxonomy 207RG0100X
- **Legal business name:** Kentucky Mso Llc
- **Organization subpart:** No
- **Authorized official:** Monica Bowman, CORPORATE SECRETARY
## Practice location
- **Address:** 1138 LEXINGTON RD, SUITE 140, Georgetown, KY 40324-9672
- **Phone:** (502) 570-3721 · **Fax:** (502) 570-3722
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 92 clinicians in 22 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (38), Family Practice (8), General Surgery (8); 13 practice at this address and 29 within 10 miles; [full list](https://npiprofile.com/npi/1164867883/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 21, 2023
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1164867883) · Data from the CMS NPPES public registry.