KENTUCKYONE HEALTH MEDICAL GROUP, INC.
NPI 1902238694
General Practice in Lexington, KY
NPI Status: Active since August 05, 2013
Contact Information
1401 HARRODSBURG RD
LEXINGTON, KY
ZIP 40504
Phone: (606) 330-7835
Fax: (606) 330-7825
- Organization
- General Practice
- Accepts Insurance
About KENTUCKYONE HEALTH MEDICAL GROUP, INC.
This page provides the complete NPI Profile along with additional information for Kentuckyone Health Medical Group, Inc., a primary care provider established in Lexington, Kentucky operating as a General Practice. The healthcare provider is registered in the NPI registry with number 1902238694 assigned on August 2013. The practitioner's primary taxonomy code is 208D00000X. The provider is registered as an organization and their NPI record was last updated one year ago. Kentuckyone Health Medical Group, Inc. operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's
- NPI
- 1902238694
- Provider Legal Name
- KENTUCKYONE HEALTH MEDICAL GROUP, INC.
- Other Organization Name
- Other Name Type
- (6)
- Entity Type
- Organization
- Location Address
- 1401 HARRODSBURG RD LEXINGTON, KY 40504
- Location Phone
- (606) 330-7835
- Location Fax
- (606) 330-7825
- Mailing Address
- PO BOX 936 LONDON, KY 40743
- Mailing Phone
- (606) 330-7835
- Mailing Fax
- (606) 330-7825
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 08-05-2013
- Last Update Date
- 08-14-2025
- Code Navigator
A primary care provider (PCP) like Kentuckyone Health Medical Group, Inc. 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
General Practice
- Taxonomy Code
- 208D00000X
- Type
- Allopathic & Osteopathic Physicians
- License State
- KY
- Taxonomy Description
- A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 101YM0800X | Behavioral Health & Social Service Providers | Counselor | |
| 2 | 101YP2500X | Behavioral Health & Social Service Providers | Counselor | |
| 3 | 104100000X | Behavioral Health & Social Service Providers | Social Worker | |
| 4 | 207QA0000X | Allopathic & Osteopathic Physicians | Family Medicine | (KY) |
| 5 | 207QA0505X | Allopathic & Osteopathic Physicians | Family Medicine | (KY) |
| 6 | 207V00000X | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology | (KY) |
| 7 | 207X00000X | Allopathic & Osteopathic Physicians | Orthopaedic Surgery | (KY) |
| 8 | 2084P0800X | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | |
| 9 | 208800000X | Allopathic & Osteopathic Physicians | Urology | (KY) |
| 10 | 208G00000X | Allopathic & Osteopathic Physicians | Thoracic Surgery (Cardiothoracic Vascular Surgery) | (KY) |
| 11 | 213ES0103X | Podiatric Medicine & Surgery Service Providers | Podiatrist | (KY) |
| 12 | 363A00000X | Physician Assistants & Advanced Practice Nursing Providers | Physician Assistant | (KY) |
| 13 | 363L00000X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | (KY) |
| 14 | 367A00000X | Physician Assistants & Advanced Practice Nursing Providers | Advanced Practice Midwife | (KY) |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Anthem Bronze Essential 10150 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Anthem Bronze Essential 10150 Adult Dental/Vision ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Anthem Bronze Essential 6500 HSA (+ Incentives) - HMO
- Anthem Bronze Essential 7500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Anthem Bronze Essential POS 5500 ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
- Anthem Bronze Essential POS 7500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
- Anthem Catastrophic Essential (+ Incentives) - HMO
- Anthem Gold Essential 2000 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Anthem Gold Essential 2200 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Anthem Heart Healthy Bronze Essential 4500 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Anthem Heart Healthy Silver Essential 4500 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Anthem Silver Essential 3500 HSA (+ Incentives) - HMO
- Anthem Silver Essential 6000 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Anthem Silver Essential 7000 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Anthem Silver Essential 7000 Adult Dental/Vision ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Bronze 7500 $25 Generic Drugs - HMO
- Bronze 7500 $25 Generic Drugs + Adult Vision & Fitness - HMO
- Diabetes Gold 3000 $0 Chronic Care Drugs & Services - HMO
- Diabetes Gold 3000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness - HMO
- Diabetes Silver 5000 $0 Chronic Care Drugs & Services - HMO
- Diabetes Silver 5000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness - HMO
- Gold 2000 $15 Generic Drugs - HMO
- Gold 2000 $15 Generic Drugs + Adult Vision & Fitness - HMO
- HDHP Preventive Silver 5500 $0 Chronic Care Drugs - HMO
- Healthy Heart Gold 3000 $0 Chronic Care Drugs & Services - HMO
- Healthy Heart Gold 3000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness - HMO
- Healthy Heart Silver 5000 $0 Chronic Care Drugs & Services - HMO
- Healthy Heart Silver 5000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness - HMO
- HSA Eligible Bronze 6000 - HMO
- Low Premium Bronze 10600 $25 Generic Drugs - HMO
- Low Premium Bronze 10600 $25 Generic Drugs + Adult Vision & Fitness - HMO
- Low Premium Silver 6200 $3 Generic Drugs - HMO
- Low Premium Silver 6200 $3 Generic Drugs + Adult Vision & Fitness - HMO
- Platinum Zero $5 Generic Drugs - HMO
- Platinum Zero $5 Generic Drugs + Adult Vision & Fitness - HMO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 7100200890 (PA) | MEDICAID (05) | KY | |
| 200434820A | MEDICAID (05) | IN | |
| 7100161650 (FRAZIER) | MEDICAID (05) | KY | |
| 7100200840 (LCSW) | MEDICAID (05) | KY | |
| 7100225220 (FFM) | MEDICAID (05) | KY | |
| 000000060604 | OTHER (01) | KY | ANTHEM GRP # |
| 7100200880 (CRNA) | MEDICAID (05) | KY | |
| 7100200870 (MD) | MEDICAID (05) | KY | |
| 7100246920 (SALEEM) | MEDICAID (05) | KY | |
| 7100292390 (DPM) | MEDICAID (05) | KY | |
| 78904851 (NP) | MEDICAID (05) | KY | |
| 7100247000 (SFM-SHE) | MEDICAID (05) | KY |
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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 1902238694, 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.
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.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
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.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
LEXINGTON, KY 40504
LEXINGTON, KY 40504
LEXINGTON, KY 40504
LEXINGTON, KY 40504
LEXINGTON, KY 40504
LEXINGTON, KY 40504
LEXINGTON, KY 40504
LEXINGTON, KY 40504
LEXINGTON, KY 40504
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1902238694, enumerated as an "organization" on August 05, 2013.
The provider is located at 1401 HARRODSBURG RD LEXINGTON, KY 40504 and the phone number is (606) 330-7835.
General Practice with taxonomy code 208D00000X.
The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, CareSource,. Please consult your insurance carrier or call the provider to verify.
