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NICHOLAS JOSEPH BURKHOLDER MD
NPI 1922692417
Internal Medicine in Fort Knox, KY

Active since February 24, 2021PECOS Enrolled
200 BRULE ST, FORT KNOX, KY 40121(502) 626-6096(502) 414-0088 Get Directions Write a Review

NPPES record last updated: May 31, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 31, 2026, Sep 3, 2024, Jun 5, 2024 and 3 more (6 updates tracked since 2021).

About Nicholas Joseph Burkholder Md NPPES

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

NICHOLAS JOSEPH BURKHOLDER MD (NPI 1922692417) is an individual internal medicine provider in Fort Knox, Kentucky, licensed in Virginia (0101276648) and active in the NPI registry since February 2021. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1922692417
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameNICHOLAS JOSEPH BURKHOLDERCredential: MD
Location Address200 BRULE STFort Knox, KY 40121-6100
Mailing Address200 Brule StFort Knox, KY 40121-6100 · (502) 626-6096 · Fax (502) 626-9958
Phone(502) 626-6096
Fax(502) 414-0088
Sole ProprietorNo
Enumeration DateFebruary 24, 2021
Last NPPES UpdateMay 31, 20266 updates tracked since enumeration
NPPES CertifiedMay 31, 2026
✔ NPI 1922692417 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in VA · 0101276648
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedGeneral PracticeTaxonomy 208D00000X · License 0101276648 (VA)
200 BRULE ST, Fort Knox, KY 40121
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nicholas Joseph Burkholder 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40121 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$122.77 typical visit price
range $52.76 – $162.27
Typical copayment $30.69 (range $13.19 – $40.56)
Most-billed visit code 99204
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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. TINA MARIA MASCARENHAS DO, MPH
Radiology (Diagnostic Radiology)
200 BRULE ST
FORT KNOX, KY 40121
Hardin County (502) 626-9961
ELIZABETH D WATERS PHD
Psychologist (Counseling)
200 BRULE ST
FORT KNOX, KY 40121
Hardin County (502) 626-9885
DR. FRANCIS H BOUDREAU MD
Pediatrics
200 BRULE ST
FORT KNOX, KY 40121
Hardin County (502) 626-9834
GARY MCCOWN RN, CCM
Registered Nurse (Case Management)
200 BRULE ST
FORT KNOX, KY 40121
Hardin County (502) 626-9770
MRS. STEPHANIE KATHERINE HEAD LMFT, LCSW
Social Worker (Clinical)
200 BRULE ST
FORT KNOX, KY 40121
Hardin County (502) 626-9954
ALYSHA ALDRIDGE PHARMD
Pharmacist
200 BRULE ST
FORT KNOX, KY 40121
Hardin County (502) 626-9695
DAYNA RAY APRN
Nurse Practitioner (Family)
200 BRULE ST
FORT KNOX, KY 40121
Hardin County (502) 626-9669
DR. STEPHANIE JOHNSON OD
Optometrist
200 BRULE ST
FORT KNOX, KY 40121
Hardin County (502) 626-9993

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 Nicholas Burkholder's NPI number?

The NPI number for Nicholas Burkholder is 1922692417. It was assigned to this individual provider in the NPPES registry on February 24, 2021.

Where is Nicholas Burkholder located?

Nicholas Burkholder practices at 200 Brule St, Fort Knox, KY 40121. The listed phone number is (502) 626-6096.

What is Nicholas Burkholder's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Nicholas Burkholder enrolled in Medicare?

Yes. Nicholas Burkholder is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Nicholas Burkholder was last updated on May 31, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.