KINGS DAUGHTERS MEDICAL SPECIALTIES INC
NPI 1972830404
Internal Medicine - Cardiovascular Disease in Ashland, KY

Q: What is Kings Daughters Medical Specialties Inc's specialty?

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

Active since November 04, 2009

336 29TH ST STE 101, ASHLAND, KY 41101(606) 324-4404(606) 326-1159 Get Directions Write a Review

NPPES record last updated: January 27, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 17, 2018, Feb 14, 2018, Dec 26, 2017 and 1 more (4 updates tracked since 2017).

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About Kings Daughters Medical Specialties Inc NPPES

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

KINGS DAUGHTERS MEDICAL SPECIALTIES INC (NPI 1972830404), doing business as Kings Daughters Medical Specialties Bluegrass Urology, is a healthcare organization registered as a cardiovascular disease in Ashland, Kentucky and active in the NPI registry since November 2009. The organization maintains 2 additional practice locations and lists Kristie Whitlatch, Ceo, as its authorized official.

NPPES Registry Identity

NPI1972830404

Entity TypeOrganization

Primary Taxonomy207RC0000X

Legal Business NameKINGS DAUGHTERS MEDICAL SPECIALTIES INC

Location Address336 29TH ST STE 101Ashland, KY 41101-1976

Mailing AddressPo Box 2379Ashland, KY 41105-2379 · (606) 324-4404 · Fax (606) 325-6822

Phone(606) 324-4404

Fax(606) 326-1159

Organization SubpartNo

Authorized OfficialKristie WhitlatchCeo · (606) 408-4000

Enumeration DateNovember 4, 2009

Last NPPES UpdateJanuary 27, 20254 updates tracked since enumeration

NPPES CertifiedJanuary 27, 2025

✔ NPI 1972830404 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 15

★ 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 ListedInternal MedicineTaxonomy 207R00000X

Also ListedInternal Medicine · Clinical Cardiac ElectrophysiologyTaxonomy 207RC0001X

Also ListedInternal Medicine · Endocrinology, Diabetes & MetabolismTaxonomy 207RE0101X

Also ListedInternal Medicine · GastroenterologyTaxonomy 207RG0100X

Also ListedInternal Medicine · Hematology & OncologyTaxonomy 207RH0003X

Also ListedInternal Medicine · NephrologyTaxonomy 207RN0300X

Also ListedInternal Medicine · Pulmonary DiseaseTaxonomy 207RP1001X

Also ListedNeurological SurgeryTaxonomy 207T00000X

Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X

Also ListedSurgeryTaxonomy 208600000X

Also ListedSurgery · Plastic and Reconstructive SurgeryTaxonomy 2086S0122X

Also ListedUrologyTaxonomy 208800000X

Also ListedPhysician AssistantTaxonomy 363A00000X

Also ListedNurse PractitionerTaxonomy 363L00000X

336 29TH ST STE 101, Ashland, KY 41101

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Other Names 1

Doing Business AsKings Daughters Medical Specialties Bluegrass Urology

Secondary Practice Locations 2

Location 1617 23rd StAshland, KY 41101-2880 · Phone (606) 327-1760 · Fax (606) 327-1769

Location 2354 N Mayo TrlPaintsville, KY 41240-1804 · Phone (606) 372-0024 · Fax (606) 372-0226

Other Identifiers 3

Medicaid7100103390KY

Medicaid3810016581WV

Medicaid3002468OH

Group Practice 2

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

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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)

Kings Daughters Medical Specialties 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.

StateEnrollment IDDue date

StateKentuckyEnrollment IDO20100217000538Non-DME Part B · Clinic/Group PracticeDue dateFebruary 28, 2027

Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

530

Medicare enrollment records show 530 clinicians reassign Medicare billing to Kings Daughters Medical Specialties Inc, which bills Medicare for the services they deliver. Of these, 13 practice at this address and 332 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 47

Nurse Practitioner149

Certified Registered Nurse Anesthetist (CRNA)74

Anesthesiology36

Hospitalist35

Cardiovascular Disease (Cardiology)17

Pulmonary Disease16

Internal Medicine14

Neurology13

39 other specialties176

Nearest to this location (20)

See all 530

Jeremy Bonzo, M.D.

Urology

NPI 1447511332

336 29TH ST STE 101
Ashland, KY 41101

(606) 324-4404

✔ PECOS✔ Accepts MedicareSame address

William Boykin, M.D.

Urology

NPI 1922077460

336 29TH ST
Ashland, KY 41101

(606) 324-4404

✔ PECOS✔ Accepts MedicareSame address

Sara Cline, FNP-BC

Nurse Practitioner

NPI 1497596209

336 29TH ST STE 101
Ashland, KY 41101

(606) 324-4404

✔ PECOS✔ Accepts MedicareSame address

Tyrone Coyle, MD

Allergy/Immunology

NPI 1992237341

336 29TH ST STE 201
Ashland, KY 41101

(606) 420-0140

✔ PECOS✔ Accepts MedicareSame address

Justin Dixon, M.D.

Urology

NPI 1013182443

336 29TH ST
Ashland, KY 41101

(606) 324-4404

✔ PECOS✔ Accepts MedicareSame address

Timothy Dixon, MD

Urology

NPI 1225026438

336 29TH ST
Ashland, KY 41101

(606) 324-4404

✔ PECOSSame address

Daniel Hettel, MD

Urology

NPI 1285124636

336 29TH ST STE 101
Ashland, KY 41101

(606) 324-4404

✔ PECOS✔ Accepts MedicareSame address

Julie Mallin, DNP, FNP-BC

Nurse Practitioner

NPI 1376042499

336 29TH ST STE 101
Ashland, KY 41101

(606) 324-4404

✔ PECOS✔ Accepts MedicareSame address

William Thorndyke, MDCM FRCS

Urology

NPI 1477550416

336 29TH ST
Ashland, KY 41101

(606) 324-4404

✔ PECOS✔ Accepts MedicareSame address

Carol Cooper, M.D.

Dermatology

NPI 1154346369

2930 CARTER AVE
Ashland, KY 41101

(606) 324-1483

✔ PECOS✔ Accepts MedicareSame address

Michael Goldenberg, MD

Dermatology

NPI 1487397931

2930 CARTER AVE
Ashland, KY 41101

(606) 324-1483

✔ PECOS✔ Accepts MedicareSame address

Vivian Hunt, APRN

Nurse Practitioner

NPI 1073109948

2930 CARTER AVE
Ashland, KY 41101

(606) 324-1483

✔ PECOS✔ Accepts MedicareSame address

Danielle Justice, FNP-C

Nurse Practitioner

NPI 1912603937

2930 CARTER AVE
Ashland, KY 41101

(606) 324-1483

✔ PECOS✔ Accepts MedicareSame address

Gina Bohanon, MSN, APRN, FNP-C

Nurse Practitioner

NPI 1497233225

2301 LEXINGTON AVE STE 215
Ashland, KY 41101

(606) 408-4900

✔ PECOS0.5 mi

Cecilia Gaynor, M.D.

Infectious Disease

NPI 1699732040

2301 LEXINGTON AVE SUITE 125
Ashland, KY 41101

(606) 325-2721

✔ PECOS✔ Accepts Medicare0.5 mi

Jonathan Maynard, MD

Pediatric Medicine

NPI 1992970115

2301 LEXINGTON AVE STE 135
Ashland, KY 41101

(606) 408-8400

✔ PECOS0.5 mi

William Nichols, DC

Chiropractic

NPI 1245358258

2301 LEXINGTON AVE STE 310B
Ashland, KY 41101

(606) 408-1321

✔ Accepts Medicare0.5 mi

Grace Dixon, M.D.

Diagnostic Radiology

NPI 1619126687

706 23RD ST
Ashland, KY 41101

(606) 329-0060

✔ PECOS✔ Accepts Medicare0.6 mi

Terry Justice, M.D.

Radiation Oncology

NPI 1548244536

706 23RD ST TRI-STATE REGIONAL CANCER CENTER
Ashland, KY 41101

(606) 329-0060

✔ PECOS✔ Accepts Medicare0.6 mi

Omran Abul-Khoudoud, MD, FACS, RVT

Vascular Surgery

NPI 1083664254

613 23RD ST STE 520
Ashland, KY 41101

(606) 326-1675

✔ PECOS✔ Accepts Medicare0.6 mi

See all 530 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 Kings Daughters Medical Specialties Inc's NPI number?

The NPI number for Kings Daughters Medical Specialties Inc is 1972830404. It was assigned to this organization in the NPPES registry on November 4, 2009. The provider is doing business as Kings Daughters Medical Specialties Bluegrass Urology.

Where is Kings Daughters Medical Specialties Inc located?

Kings Daughters Medical Specialties Inc is located at 336 29th St Ste 101, Ashland, KY 41101. The listed phone number is (606) 324-4404.

What is Kings Daughters Medical Specialties Inc's specialty?

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

Is Kings Daughters Medical Specialties Inc enrolled in Medicare?

Yes. Kings Daughters Medical Specialties Inc is registered in the Medicare PECOS enrollment system.

When is Kings Daughters Medical Specialties 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 Kings Daughters Medical Specialties Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 530 clinicians in 47 Medicare specialties reassign their Medicare billing to Kings Daughters Medical Specialties 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 (149), Certified Registered Nurse Anesthetist (CRNA) (74) and Anesthesiology (36). Of these, 13 practice at this address and 332 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Kings Daughters Medical Specialties Inc accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter of Tennessee and Anthem Blue Cross and Blue Shield and 2 other insurers list Kings Daughters Medical Specialties 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 Kings Daughters Medical Specialties Inc was last updated on January 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.