JOHN FOWLKES MD
NPI 1326113234
Pediatrics - Pediatric Endocrinology in Lexington, KY
About John Fowlkes Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JOHN FOWLKES MD (NPI 1326113234) is an individual pediatric endocrinology provider in Lexington, Kentucky, licensed in Kentucky (32794) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
John Fowlkes Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show John Fowlkes reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Lexington, KY 40517
- Reassigned Medicare billing, Kentucky enrollment
- 1,502 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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.
LEXINGTON, KY 40536
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 John Fowlkes's NPI number?
The NPI number for John Fowlkes is 1326113234. It was assigned to this individual provider in the NPPES registry on November 24, 2006.
Where is John Fowlkes located?
John Fowlkes practices at 800 Rose St, Lexington, KY 40536. The listed phone number is (859) 323-5404.
What is John Fowlkes's specialty?
The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Endocrinology, with taxonomy code 2080P0205X.
Is John Fowlkes enrolled in Medicare?
Yes. John Fowlkes is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for John Fowlkes's services?
According to the CMS Revalidation Reassignment List (October 2026 release), John Fowlkes reassigns Medicare benefits to Kentucky Medical Services Foundation, Inc (Lexington, KY). The 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 John Fowlkes's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does John Fowlkes accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter of Tennessee and Anthem Blue Cross and Blue Shield list John Fowlkes 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 John Fowlkes was last updated on August 12, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# John Fowlkes, MD · NPI 1326113234
Pediatric Endocrinology physician in Lexington, Kentucky. Individual provider, active in the CMS NPPES registry since November 24, 2006.
## Identity
- **NPI:** 1326113234 (Entity type: Individual)
- **Enumerated:** November 24, 2006
- **Primary specialty:** Pediatrics - Pediatric Endocrinology · taxonomy 2080P0205X
- **State license:** 32794 (Kentucky)
- **Sole proprietor:** No
## Practice location
- **Address:** 800 ROSE ST, Lexington, KY 40536-0001
- **Phone:** (859) 323-5404
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Kentucky Medical Services Foundation, Inc (NPI 1326091448, Lexington, KY), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 12, 2015
- **Other identifiers:** Medicare UPIN F34086; Medicare PIN 5L827; Medicaid 142697001 (AR)
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Source: [NPI Profile](https://npiprofile.com/npi/1326113234) · Data from the CMS NPPES public registry.