IRIS MEDICAL GROUP KENTUCKY LLC
NPI 1336908110
Clinic/Center - Primary Care in Bowling Green, KY
About Iris Medical Group Kentucky Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
IRIS MEDICAL GROUP KENTUCKY LLC (NPI 1336908110) is a healthcare organization registered as a primary care in Bowling Green, Kentucky and active in the NPI registry since March 2024. The organization lists Joel Parker, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Iris Medical Group Kentucky Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Iris Medical Group Kentucky LLC, which bills Medicare for the services they deliver. They are listed nearest first.
Clinicians, nearest first (3)
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 Iris Medical Group Kentucky LLC's NPI number?
The NPI number for Iris Medical Group Kentucky LLC is 1336908110. It was assigned to this organization in the NPPES registry on March 15, 2024.
Where is Iris Medical Group Kentucky LLC located?
Iris Medical Group Kentucky LLC is located at 1131 Magnolia St, Bowling Green, KY 42103. The listed phone number is (615) 873-4490.
What is Iris Medical Group Kentucky LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Is Iris Medical Group Kentucky LLC enrolled in Medicare?
Yes. Iris Medical Group Kentucky LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Iris Medical Group Kentucky LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Iris Medical Group Kentucky LLC, in Emergency Medicine and Nurse Practitioner. 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 Iris Medical Group Kentucky LLC was last updated on March 15, 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.
# Iris Medical Group Kentucky Llc · NPI 1336908110
Primary Care organization in Bowling Green, Kentucky. Organization record, active in the CMS NPPES registry since March 15, 2024.
## Identity
- **NPI:** 1336908110 (Entity type: Organization)
- **Enumerated:** March 15, 2024
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Organization subpart:** No
- **Authorized official:** Joel Parker, PRESIDENT
## Practice location
- **Address:** 1131 MAGNOLIA ST, Bowling Green, KY 42103-2411
- **Phone:** (615) 873-4490
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 3 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (2), Emergency Medicine (1) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 15, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1336908110) · Data from the CMS NPPES public registry.