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DR. SANDRA BOUZAGLOU M.D.
NPI 1871676502
Specialist in Lexington, KY

Active since October 24, 2006Opted out of Medicare · through Jan 1, 2028
501 DARBY CREEK RD, SUITE 59, LEXINGTON, KY 40509(859) 263-8083(859) 263-9160 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Sandra Bouzaglou M.d. NPPES

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

DR. SANDRA BOUZAGLOU M.D. (NPI 1871676502) is an individual specialist in Lexington, Kentucky, licensed in Kentucky (25984) and active in the NPI registry since October 2006. She has opted out of Medicare through January 1, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1871676502
Entity TypeIndividualFemale
Primary Taxonomy174400000X
Provider Legal NameDR. SANDRA BOUZAGLOUCredential: M.D.
Location Address501 DARBY CREEK RD, SUITE 59Lexington, KY 40509-1604
Mailing Address501 Darby Creek Rd, Suite 59Lexington, KY 40509-1604 · (859) 263-8083 · Fax (859) 263-9160
Phone(859) 263-8083
Fax(859) 263-9160
Sole ProprietorYes
Enumeration DateOctober 24, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1871676502 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in KY · 25984
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.

501 DARBY CREEK RD, Lexington, KY 40509
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Other Identifiers 2

Medicare UPINE87673KY
Medicare ID-Type Unspecified0877901KY

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Sandra Bouzaglou M.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 1, 2020 through January 1, 2028.

Opt-Out Effective DateJanuary 1, 2020
Opt-Out In Effect ThroughJanuary 1, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

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.

ARK REHAB, P.S.C.
Early Intervention Provider Agency
501 DARBY CREEK RD, SUITE 16
LEXINGTON, KY 40509
Fayette County (859) 543-9463
ANDRE N. FERNANDEZ
Psychiatry & Neurology (Psychiatry)
501 DARBY CREEK RD, SUITE 21
LEXINGTON, KY 40509
Fayette County (859) 263-9305
CENTER FOR PLASTIC SURGERY PSC
Specialist
501 DARBY CREEK RD, SUITE 59
LEXINGTON, KY 40509
Fayette County (859) 263-8083
JULIE JOY TINCHER, LCSW, INC.
Counselor (Mental Health)
501 DARBY CREEK RD, SUITE #11
LEXINGTON, KY 40509
Fayette County (859) 608-5332
ARK REHAB, P.S.C.
Occupational Therapy Assistant
501 DARBY CREEK RD, SUITE 61
LEXINGTON, KY 40509
Fayette County (859) 543-9463
BLUEGRASS FAMILY CONSULTANTS, LLC
Nurse Practitioner (Psychiatric/Mental Health)
501 DARBY CREEK RD, SUITE 7
LEXINGTON, KY 40509
Fayette County (859) 227-2337
CLARISSA LEE HAGY LPC
Counselor (Professional)
501 DARBY CREEK RD, #11
LEXINGTON, KY 40509
Fayette County (859) 338-0466
MRS. MYRTLE W PROCTER LCSW
Social Worker (Clinical)
501 DARBY CREEK RD, SUITE 67
LEXINGTON, KY 40509
Fayette County (859) 335-0375

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 Sandra Bouzaglou's NPI number?

The NPI number for Sandra Bouzaglou is 1871676502. It was assigned to this individual provider in the NPPES registry on October 24, 2006.

Where is Sandra Bouzaglou located?

Sandra Bouzaglou practices at 501 Darby Creek Rd Suite 59, Lexington, KY 40509. The listed phone number is (859) 263-8083.

What is Sandra Bouzaglou's specialty?

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

Is Sandra Bouzaglou enrolled in Medicare?

No. Sandra Bouzaglou has opted out of Medicare through January 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Sandra Bouzaglou was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.