KENTUCKY BREAST CARE
NPI 1295097319
Radiology - Diagnostic Radiology in Russell Springs, KY
About Kentucky Breast Care NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KENTUCKY BREAST CARE (NPI 1295097319) is a healthcare organization registered as a diagnostic radiology in Russell Springs, Kentucky and active in the NPI registry since June 2012. The organization lists Andrea Woodroof, Managing Member, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kentucky Breast Care is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Kentucky Breast Care, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Breast Care's NPI number?
The NPI number for Kentucky Breast Care is 1295097319. It was assigned to this organization in the NPPES registry on June 14, 2012.
Where is Kentucky Breast Care located?
Kentucky Breast Care is located at 38 Joe T Petty Drive, Russell Springs, KY 42642. The listed phone number is (606) 658-9535.
What is Kentucky Breast Care's specialty?
The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.
Is Kentucky Breast Care enrolled in Medicare?
Yes. Kentucky Breast Care is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Kentucky Breast Care?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Diagnostic Radiology) reassigns their Medicare billing to Kentucky Breast Care. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Kentucky Breast Care was last updated on November 2, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.
# Kentucky Breast Care · NPI 1295097319
Diagnostic Radiology organization in Russell Springs, Kentucky. Organization record, active in the CMS NPPES registry since June 14, 2012.
## Identity
- **NPI:** 1295097319 (Entity type: Organization)
- **Enumerated:** June 14, 2012
- **Primary specialty:** Radiology - Diagnostic Radiology · taxonomy 2085R0202X
- **Organization subpart:** No
- **Authorized official:** Andrea Woodroof, MANAGING MEMBER
## Practice location
- **Address:** 38 JOE T PETTY DRIVE, Russell Springs, KY 42642-8553
- **Phone:** (606) 658-9535 · **Fax:** (270) 866-9716
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Diagnostic Radiology) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 2, 2012
- **Other identifiers:** Medicaid 7100212880 (KY)
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Source: [NPI Profile](https://npiprofile.com/npi/1295097319) · Data from the CMS NPPES public registry.