Active NPI
Thomas P. Von Unrug MD Inc
- Adolescent Medicine (Internal Medicine) Physician
- Lexington, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adolescent Medicine (Internal Medicine) Physician
- License
- 31364
- Legal business name
- THOMAS P. VON UNRUG MD INC
- Practice address
- 1401 Harrodsburg Rd Ste B299
Lexington, KY 40504-3747 - Phone
- (859) 276-0714
- Fax
- (859) 276-0363
- NPI assigned
- May 7, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Thomas P Von Unrug, M.D.
- Title
- Owner
- Phone
- (859) 276-0714
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adolescent Medicine (Internal Medicine) Physician | 207RA0000X | 31364 | KY | Primary |
Addresses
Primary practice location
1401 Harrodsburg Rd Ste B299
Lexington, KY 40504-3747
Mailing address
1401 Harrodsburg Rd Ste B299
Lexington, KY 40504-3747
Phone (859) 276-0714
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 64313646 | Medicaid | KY |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | thomasvonunrug@dtpu.allscriptsdirect.net | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 18D0933665 | Thomas P Von Unrug MD Inc | Provider-performed microscopy | Sep 17, 2027 |
National Provider Directory
National Provider DirectoryLocations
700 Mason Headley Rd
Lexington, KY 40504
Phone (859) 259-3486
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Lexington, KY
- NPI 1295779957
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1273190400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1634083200000",
"number": "1003134537",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1401 HARRODSBURG RD STE B299",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405043747",
"telephone_number": "859-276-0714",
"fax_number": "859-276-0363"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1401 HARRODSBURG RD STE B299",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405043747",
"telephone_number": "859-276-0714",
"fax_number": "859-276-0363"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THOMAS P. VON UNRUG MD INC",
"organizational_subpart": "NO",
"enumeration_date": "2010-05-07",
"last_updated": "2021-10-13",
"certification_date": "2021-10-13",
"status": "A",
"authorized_official_last_name": "VON UNRUG",
"authorized_official_first_name": "THOMAS",
"authorized_official_middle_name": "P",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "859-276-0714",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207RA0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Adolescent Medicine",
"state": "KY",
"license": "31364",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "64313646",
"state": "KY"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "thomasvonunrug@dtpu.allscriptsdirect.net",
"affiliation": "N",
"endpointDescription": "Allscripts Direct Interface",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "1401 Harrodsburg Rd Ste B299",
"city": "Lexington",
"state": "KY",
"country_code": "US",
"postal_code": "405043747",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Lexington, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.