Active NPI
Berhanemeskel Nesketa, M.D.
- Pulmonary Disease Physician
- Owensboro, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- 47275
- Practice address
- 1301 Pleasant Valley Rd
Suite 404
Owensboro, KY 42303-9774 - Phone
- (270) 417-7500
- Fax
- (270) 417-7699
- NPI assigned
- Oct 13, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Pulmonary Disease Physician | 207RP1001X | 47275 | KY | Primary |
Addresses
Primary practice location
1301 Pleasant Valley Rd
Suite 404
Owensboro, KY 42303-9774
Mailing address
PO Box 23229
Owensboro, KY 42304-3229
Phone (270) 688-1330
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100304030 | Medicaid | KY | |
| 201249550 | Medicaid | IN |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | bnesketa48062@direct.owensborohealth.org | Owensboro Health Medical Group, Inc |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pulmonary Disease
- Education
- Other, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1201 Pleasant Valley Rd
Owensboro, KY 42303-9811
1301 Pleasant Valley Rd
Owensboro, KY 42303-9774
2211 Mayfair Dr
Owensboro, KY 42301-4569
PO Box
Suite 23229
Owensboro, KY 42304-3229
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Owensboro Health Medical Group Inc | Current | Accepting new patients | |
| Owensboro Health Medical Group Inc | Current | Accepting new patients | |
| Owensboro Health Medical Group Inc | Current | Accepting new patients | |
| Owensboro Health Medical Group, Inc | Family Medicine | Past | Accepting new patients |
Locations
2211 Mayfair Dr
Ste 101
Owensboro, KY 42301
Phone (270) 688-1352
2211 Mayfair Dr
Ste 102
Owensboro, KY 42301
Phone (270) 688-1351
1301 Pleasant Valley Rd
Ste 404
Owensboro, KY 42303
Phone (270) 417-7500
Interoperability endpoints
- bnesketa48062@direct.owensborohealth.org
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
dba Owensboro Health Muhlenberg Community Hospital Wound Center
- Surgery Physician
- Greenville, KY
- NPI 1235518242
-
dba Owensboro Health Medical Group Premier Primary Care
- Internal Medicine Physician
- Owensboro, KY
- NPI 1306700711
-
dba Owensboro Health Weight Management
- Obesity Medicine (Internal Medicine) Physician
- Owensboro, KY
- NPI 1992292288
-
dba Owensboro Health Medical Group - EKG Professional Services
- Family Medicine Physician
- Owensboro, KY
- NPI 1376594242
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Hartford, KY
- NPI 1629007430
-
dba Owensboro Health Regional Hospital
- General Acute Care Hospital
- Owensboro, KY
- NPI 1285613612
-
- Critical Access Hospital
- Tell City, IN
- NPI 1699779017
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1286928000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701043200000",
"number": "1003126996",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 23229",
"city": "OWENSBORO",
"state": "KY",
"postal_code": "423043229",
"telephone_number": "270-688-1330",
"fax_number": "270-688-1338"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1301 PLEASANT VALLEY RD",
"address_2": "SUITE 404",
"city": "OWENSBORO",
"state": "KY",
"postal_code": "423039774",
"telephone_number": "270-417-7500",
"fax_number": "270-417-7699"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NESKETA",
"first_name": "BERHANEMESKEL",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-10-13",
"last_updated": "2023-11-27",
"certification_date": "2020-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "KY",
"license": "47275",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100304030",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "201249550",
"state": "IN"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "bnesketa48062@direct.owensborohealth.org",
"affiliation": "Y",
"affiliationName": "Owensboro Health Medical Group, Inc",
"address_1": "1301 Pleasant Valley Rd Ste 404",
"city": "Owensboro",
"state": "KY",
"country_code": "US",
"postal_code": "423039774",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Owensboro, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.