DR. CONSTANCIO M BAUTISTA M.D.
NPI 1417937962
Specialist in Mt Washington, KY

Q: What is Constancio Bautista's NPI number?

The NPI number for Constancio Bautista is 1417937962. It was assigned to this individual provider in the NPPES registry on January 20, 2006.

Q: What is Constancio Bautista's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Active since January 20, 2006PECOS Enrolled

161 WEST ST, MT WASHINGTON, KY 40047(502) 538-7425 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Dr. Constancio M Bautista M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. CONSTANCIO M BAUTISTA M.D. (NPI 1417937962) is an individual specialist in Mt Washington, Kentucky, licensed in Kentucky (16733) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1417937962

Entity TypeIndividualMale

Primary Taxonomy174400000X

Provider Legal NameDR. CONSTANCIO M BAUTISTACredential: M.D.

Location Address161 WEST STMt Washington, KY 40047-7184

Mailing AddressPo Box 130Mt Washington, KY 40047-0130 · (502) 538-7425

Phone(502) 538-7425

Sole ProprietorNo

Enumeration DateJanuary 20, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1417937962 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in KY · 16733

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

161 WEST ST, Mt Washington, KY 40047

Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Constancio M Bautista M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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 Constancio Bautista's NPI number?

The NPI number for Constancio Bautista is 1417937962. It was assigned to this individual provider in the NPPES registry on January 20, 2006.

Where is Constancio Bautista located?

Constancio Bautista practices at 161 West St, Mt Washington, KY 40047. The listed phone number is (502) 538-7425.

What is Constancio Bautista's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Constancio Bautista enrolled in Medicare?

Yes. Constancio Bautista is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Constancio Bautista was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.