MARIE ELAINE TRACE MD
NPI 1659416667
Pediatrics - Developmental - Behavioral Pediatrics in Lexington, KY

Q: What is Marie Trace's NPI number?

The NPI number for Marie Trace is 1659416667. It was assigned to this individual provider in the NPPES registry on February 20, 2007.

Q: What is Marie Trace's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Developmental - Behavioral Pediatrics, with taxonomy code 2080P0006X.

Q: When was this NPI record last updated?

The NPPES record for Marie Trace was last updated on April 29, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since February 20, 2007PECOS Enrolled

1900 RICHMOND RD, LEXINGTON, KY 40502(859) 218-1900(859) 218-7573 Get Directions Write a Review

NPPES record last updated: April 29, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 29, 2024, Jun 15, 2021 (2 updates tracked since 2021).

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About Marie Elaine Trace Md NPPES

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

MARIE ELAINE TRACE MD (NPI 1659416667) is an individual developmental - behavioral pediatrics provider in Lexington, Kentucky, licensed in Kentucky (41605) and active in the NPI registry since February 2007. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1659416667

Entity TypeIndividualFemale

Primary Taxonomy2080P0006X

Provider Legal NameMARIE ELAINE TRACECredential: MD

Location Address1900 RICHMOND RDLexington, KY 40502-1204

Mailing Address407 Lookout CtAvon Lake, OH 44012-2462 · (502) 235-4428

Phone(859) 218-1900

Fax(859) 218-7573

Sole ProprietorNo

Enumeration DateFebruary 20, 2007

Last NPPES UpdateApril 29, 20242 updates tracked since enumeration

NPPES CertifiedApril 29, 2024

✔ NPI 1659416667 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Developmental - Behavioral PediatricsAllopathic & Osteopathic Physicians

Taxonomy Code2080P0006X

Licenses✔ Licensed in KY · 41605✔ Licensed in OH · 35.142487

Definition

A developmental-behavioral specialist is a pediatrician with special training and experience who aims to foster understanding and promotion of optimal development of children and families through research, education, clinical care and advocacy efforts. This physician assists in the prevention, diagnosis, and management of developmental difficulties and problematic behaviors in children and in the family dysfunctions that compromise children's development.

Also ListedPediatricsTaxonomy 208000000X · License 35.142487 (OH)

1900 RICHMOND RD, Lexington, KY 40502

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Secondary Practice Locations 2

Location 19500 Euclid AveCleveland, OH 44195-2137 · Phone (502) 235-4428

Location 21903 Sils AveLouisville, KY 40205-2137 · Phone (502) 749-6475

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Marie Elaine Trace Md 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.

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.

DR. CHESTER M TYLKOWSKI M.D.

Special Hospital