BEAUMONT INTEGRATED MEDICINE PSC
NPI 1619377454
Family Medicine - Adult Medicine in Lexington, KY

NPI Status: Active since August 29, 2014

Contact Information

989 GOVERNORS LN
LEXINGTON, KY
ZIP 40513
Phone: (859) 559-4272

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  • Organization
  • Family Medicine
  • Adult Medicine
  • CLIA Number: 18D1045638
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 09-19-2027

About BEAUMONT INTEGRATED MEDICINE PSC

This page provides the complete NPI Profile along with additional information for Beaumont Integrated Medicine Psc, a primary care provider established in Lexington, Kentucky operating as a Family Medicine, focusing in adult medicine . The healthcare provider is registered in the NPI registry with number 1619377454 assigned on August 2014. The practitioner's primary taxonomy code is 207QA0505X with license number 36483 (KY). The provider is registered as an organization and their NPI record was last updated 11 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Mr. Daniel Vanhoose Arnp (Administrator)

NPI
1619377454
Provider Name
BEAUMONT INTEGRATED MEDICINE PSC
Entity Type
Organization
Location Address
989 GOVERNORS LN LEXINGTON, KY 40513
Location Phone
(859) 559-4272
Mailing Address
7980 SOLUTION CTR CHICAGO, IL 60677
Mailing Phone
(859) 559-4272
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-29-2014
Last Update Date
09-16-2015
Code Navigator

A primary care provider (PCP) like Beaumont Integrated Medicine Psc sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Family Medicine Adult Medicine

Taxonomy Code
207QA0505X
Type
Allopathic & Osteopathic Physicians
License No.
36483
License State
KY
Taxonomy Description
The National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. DANIEL VANHOOSE ARNP

Authorized Official Title
ADMINISTRATOR
Authorized Official Phone
(859) 559-0804

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
18D1045638
Facility Type
Physician Office
Certificate Effective Date
September 20, 2025
Certificate Expiration Date
September 19, 2027
Laboratory Director
ASMA MURAD, MD
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Beaumont Integrated Medicine Psc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1619377454, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 66. The final step is to find the difference between that total and the next multiple of ten (70 - 66 = 4).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
6
Unchanged
Pos 3
1
Doubled → 2
Pos 4
9
Unchanged
Pos 5
3
Doubled → 6
Pos 6
7
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
4
Unchanged
Pos 9
5
Doubled → 10 → 1 + 0
Check
4
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 1 → 2 3 → 6 7 → 14 → 5 5 → 10 → 1

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 6 + 2 + 9 + 6 + 7 + 1 + 4 + 4 + 1 + 0 + 24 = 66

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 66 is 70. The difference is the calculated check digit.

70 - 66 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1619377454.

Other Providers at the Same Location


The following 9 providers are registered at the same or a nearby location.

Family Medicine
989 GOVERNORS LN, SUITE 160
LEXINGTON, KY 40513
Dermatology (MOHS-Micrographic Surgery)
989 GOVERNORS LN, SUITE 220
LEXINGTON, KY 40513
Internal Medicine (Cardiovascular Disease)
989 GOVERNORS LN, SUITE 180
LEXINGTON, KY 40513
Dentist (General Practice)
989 GOVERNORS LN
LEXINGTON, KY 40513
Chiropractor
989 GOVERNORS LN, SUITE #280
LEXINGTON, KY 40513
Specialist
989 GOVERNORS LN, STE 180
LEXINGTON, KY 40513
Family Medicine
989 GOVERNORS LN, SUITE 220
LEXINGTON, KY 40513
Optometrist
989 GOVERNORS LN
LEXINGTON, KY 40513
Chiropractor
989 GOVERNORS LN, SUITE #280
LEXINGTON, KY 40513

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1619377454, enumerated as an "organization" on August 29, 2014.

The provider is located at 989 GOVERNORS LN LEXINGTON, KY 40513 and the phone number is (859) 559-4272.

Family Medicine with taxonomy code 207QA0505X and a focus in Adult Medicine.