ST. ELIZABETH MEDICAL CENTER, INC.
NPI 1710001185
Family Medicine in Edgewood, KY
About St. Elizabeth Medical Center, Inc. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ST. ELIZABETH MEDICAL CENTER, INC. (NPI 1710001185), doing business as St. Elizabeth Center For Family Medicine, is a healthcare organization registered as a family medicine in Edgewood, Kentucky and active in the NPI registry since March 2007. The organization lists Timothy Gramann, Director Family Practice Center Adm, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Other Identifiers 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
St. Elizabeth Medical Center, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by February 28, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
275Medicare enrollment records show 275 clinicians reassign Medicare billing to St. Elizabeth Medical Center, Inc., which bills Medicare for the services they deliver. Of these, 12 practice at this address and 241 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 33
Nearest to this location (20)
See all 275Edgewood, KY 41017
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 St. Elizabeth Medical Center, Inc.'s NPI number?
The NPI number for St. Elizabeth Medical Center, Inc. is 1710001185. It was assigned to this organization in the NPPES registry on March 19, 2007. The provider is doing business as St. Elizabeth Center for Family Medicine.
Where is St. Elizabeth Medical Center, Inc. located?
St. Elizabeth Medical Center, Inc. is located at 413 S Loop Rd, Edgewood, KY 41017. The listed phone number is (859) 301-3800.
What is St. Elizabeth Medical Center, Inc.'s specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is St. Elizabeth Medical Center, Inc. enrolled in Medicare?
Yes. St. Elizabeth Medical Center, Inc. is registered in the Medicare PECOS enrollment system.
When is St. Elizabeth Medical Center, Inc.'s Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Kentucky, Clinic/Group Practice) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through St. Elizabeth Medical Center, Inc.?
According to the CMS Revalidation Reassignment List (October 2026 release), 275 clinicians in 33 Medicare specialties reassign their Medicare billing to St. Elizabeth Medical Center, Inc.. 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 (97), Family Practice (22) and Cardiovascular Disease (Cardiology) (20). Of these, 12 practice at this address and 241 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does St. Elizabeth Medical Center, Inc. accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter of Tennessee and Anthem Blue Cross and Blue Shield list St. Elizabeth Medical Center, Inc. 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 St. Elizabeth Medical Center, Inc. was last updated on September 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.
# St. Elizabeth Medical Center, Inc. · NPI 1710001185
Family Medicine organization in Edgewood, Kentucky. Organization record, active in the CMS NPPES registry since March 19, 2007.
## Identity
- **NPI:** 1710001185 (Entity type: Organization)
- **Enumerated:** March 19, 2007
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Also known as:** St. Elizabeth Center for Family Medicine (Doing Business As)
- **Organization subpart:** Yes (part of St. Elizabeth Medical Center, Inc.)
- **Authorized official:** Timothy Gramann, DIRECTOR FAMILY PRACTICE CENTER ADM
## Practice location
- **Address:** 413 S LOOP RD, Edgewood, KY 41017-5446
- **Phone:** (859) 301-3800 · **Fax:** (859) 301-3987
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** February 28, 2027 (Non-DME Part B, Kentucky, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 275 clinicians in 33 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (97), Family Practice (22), Cardiovascular Disease (Cardiology) (20); 12 practice at this address and 241 within 10 miles; [full list](https://npiprofile.com/npi/1710001185/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 30, 2025
- **Other identifiers:** Medicaid 65901688 (KY)
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Source: [NPI Profile](https://npiprofile.com/npi/1710001185) · Data from the CMS NPPES public registry.