KENTUCKY MSO, LLC
NPI 1679902340
Internal Medicine - Cardiovascular Disease in Georgetown, KY

Active since November 04, 2013
1140 LEXINGTON RD, GEORGETOWN, KY 40324(855) 876-2412(502) 570-5610 Get Directions Write a Review

NPPES record last updated: January 24, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 1, 2020, Feb 13, 2019, Feb 1, 2019 and 1 more (4 updates tracked since 2015).

About Kentucky Mso, Llc NPPES

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

KENTUCKY MSO, LLC (NPI 1679902340) is a healthcare organization registered as a cardiovascular disease in Georgetown, Kentucky and active in the NPI registry since November 2013. The organization lists Monica Bowman, President, as its authorized official.

NPPES Registry Identity

NPI1679902340
Entity TypeOrganization
Primary Taxonomy207RC0000X
Legal Business NameKENTUCKY MSO, LLC
Location Address1140 LEXINGTON RDGeorgetown, KY 40324-9330
Mailing Address330 Seven Springs WayBrentwood, TN 37027-5098 · (615) 920-7000 · Fax (615) 920-8775
Fax(502) 570-5610
Organization SubpartNo
Authorized OfficialMonica BowmanPresident · (615) 920-7000
Enumeration DateNovember 4, 2013
Last NPPES UpdateJanuary 24, 20244 updates tracked since enumeration
NPPES CertifiedJanuary 24, 2024
✔ NPI 1679902340 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 14

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedInternal Medicine · GastroenterologyTaxonomy 207RG0100X
Also ListedInternal Medicine · Hematology & OncologyTaxonomy 207RH0003X
Also ListedInternal Medicine · Pulmonary DiseaseTaxonomy 207RP1001X
Also ListedOrthopaedic SurgeryTaxonomy 207X00000X
Also ListedPreventive Medicine · Occupational MedicineTaxonomy 2083X0100X
Also ListedPsychiatry & Neurology · NeurologyTaxonomy 2084N0400X
Also ListedRadiology · Radiation OncologyTaxonomy 2085R0001X
Also ListedSurgeryTaxonomy 208600000X
Also ListedPain Medicine · Pain MedicineTaxonomy 208VP0000X
Also ListedAudiologistTaxonomy 231H00000X
Also ListedPhysician AssistantTaxonomy 363A00000X
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
1140 LEXINGTON RD, Georgetown, KY 40324

Other Identifiers 1

OtherK013930KY · Medicare

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kentucky Mso, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

92

Medicare enrollment records show 92 clinicians reassign Medicare billing to Kentucky Mso, LLC, which bills Medicare for the services they deliver. Of these, 6 practice at this address and 29 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 22

Nurse Practitioner38
Family Practice8
General Surgery8
Pediatric Medicine6
Radiation Oncology4
Internal Medicine3
Pulmonary Disease3
Urology3
14 other specialties19

Nearest to this location (20)

See all 92
Nurse Practitioner
NPI 1871045856
1140 LEXINGTON RD
Georgetown, KY 40324
(502) 868-1100
✔ PECOS✔ Accepts MedicareSame address
Anesthesiology
NPI 1891055877
1140 LEXINGTON RD
Georgetown, KY 40324
(502) 570-3767
✔ PECOS✔ Accepts MedicareSame address
Cardiovascular Disease (Cardiology)
NPI 1144315102
1140 LEXINGTON RD
Georgetown, KY 40324
(502) 863-3303
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1427098250
1138 LEXINGTON RD STE 130
Georgetown, KY 40324
(502) 867-0222
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1790222354
1140 LEXINGTON RD STE 203
Georgetown, KY 40324
(502) 570-3757
✔ PECOS✔ Accepts MedicareSame address
Medical Oncology
NPI 1013141431
1140 LEXINGTON RD SUITE 202
Georgetown, KY 40324
(502) 868-1100
✔ PECOS✔ Accepts MedicareSame address
General Surgery
NPI 1558468462
1138 LEXINGTON RD SUITE 230
Georgetown, KY 40324
(502) 570-3778
✔ PECOS✔ Accepts Medicare0.1 mi
Nurse Practitioner
NPI 1518336445
1138 LEXINGTON RD SUITE 140
Georgetown, KY 40324
(502) 570-3721
✔ PECOS✔ Accepts Medicare0.1 mi
Family Practice
NPI 1063497113
1138 LEXINGTON RD STE 130
Georgetown, KY 40324
(502) 867-0222
✔ PECOS0.1 mi
Family Practice
NPI 1578613030
1138 LEXINGTON RD STE 290
Georgetown, KY 40324
(502) 863-0721
✔ PECOS✔ Accepts Medicare0.1 mi
Family Practice
NPI 1275978207
1138 LEXINGTON RD SUITE 130
Georgetown, KY 40324
(502) 867-0222
✔ PECOS✔ Accepts Medicare0.1 mi
Pulmonary Disease
NPI 1790888683
1138 LEXINGTON RD STE 230
Georgetown, KY 40324
(502) 570-3706
✔ PECOS0.1 mi
Infectious Disease
NPI 1255584223
1138 LEXINGTON RD STE 290
Georgetown, KY 40324
(502) 863-0721
✔ PECOS✔ Accepts Medicare0.1 mi
Nurse Practitioner
NPI 1770288169
1138 LEXINGTON RD STE 230A
Georgetown, KY 40324
(502) 570-3721
✔ PECOS✔ Accepts Medicare0.1 mi
Family Practice
NPI 1154306207
1138 LEXINGTON ROAD SUITE 130
Georgetown, KY 40324
(502) 867-0222
✔ PECOS✔ Accepts Medicare0.1 mi
Nurse Practitioner
NPI 1164140695
1138 LEXINGTON RD STE 230A
Georgetown, KY 40324
(502) 570-3721
✔ PECOS✔ Accepts Medicare0.1 mi
Registered Dietitian or Nutrition Professional
NPI 1003510132
1002 LEXINGTON RD STE 25B
Georgetown, KY 40324
(502) 735-4577
0.2 mi
Pediatric Medicine
NPI 1245896224
196 BEVINS LN STE F
Georgetown, KY 40324
(502) 863-2818
✔ PECOS0.5 mi
Internal Medicine
NPI 1265640411
196 BEVINS LN SUITE F
Georgetown, KY 40324
(502) 863-2818
✔ PECOS✔ Accepts Medicare0.5 mi
Internal Medicine
NPI 1235292343
196 BEVINS LN F
Georgetown, KY 40324
(502) 863-2818
✔ PECOS✔ Accepts Medicare0.5 mi
See all 92 clinicians

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 Kentucky Mso, LLC's NPI number?

The NPI number for Kentucky Mso, LLC is 1679902340. It was assigned to this organization in the NPPES registry on November 4, 2013.

Where is Kentucky Mso, LLC located?

Kentucky Mso, LLC is located at 1140 Lexington Rd, Georgetown, KY 40324. The listed phone number is (855) 876-2412.

What is Kentucky Mso, LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Kentucky Mso, LLC enrolled in Medicare?

Yes. Kentucky Mso, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Kentucky Mso, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 92 clinicians in 22 Medicare specialties reassign their Medicare billing to Kentucky Mso, LLC. 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. The largest specialties are Nurse Practitioner (38), Family Practice (8) and General Surgery (8). Of these, 6 practice at this address and 29 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Kentucky Mso, LLC accept?

Health plans from Anthem Blue Cross and Blue Shield and CareSource list Kentucky Mso, LLC 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 Kentucky Mso, LLC was last updated on January 24, 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.