Individual provider Active NPI

Stephen M Mooney, MD

  • Internal Medicine Physician
  • Lexington, KY
National Provider Identifier
1003815622
Registry record updated Dec 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
36621 Issued in KY
Practice address
2101 Nicholasville Rd Ste 304
Lexington, KY 40503-2526
Phone
(859) 277-5771
Fax
(859) 276-4622
NPI assigned
Jul 15, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 36621 KY Primary

Addresses

Primary practice location

2101 Nicholasville Rd Ste 304
Lexington, KY 40503-2526

Mailing address

2101 Nicholasville Rd Ste 304
Lexington, KY 40503-2526
Phone (859) 277-5771

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address smooney8017@bhkydirect.com

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070622000242 KY Practitioner - Internal Medicine 6103925714 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Jefferson Medical College of Thomas Jefferson University, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
H2 Rehabilitation Services of Kentucky, LLCGroup PAC ID 5799682688, shared by 7 NPIs, 187 clinicians
Kentucky Orthopedic Rehabilitation LLCGroup PAC ID 0345157293, shared by 15 NPIs, 68 clinicians
Baptist Health Medical Group IncGroup PAC ID 5597867184, 2,431 clinicians

Practice addresses (Care Compare)

193 Glades Rd
Berea, KY 40403-2261
Phone (859) 956-1055

235 Boggs LN
Suite 9
Richmond, KY 40475-3325
Phone (859) 972-8630

4071 Tates Creek Centre Dr
Suite 202
Lexington, KY 40517-3094
Phone (859) 260-4390

Hospital & facility affiliations

  • Baptist Health Home Care Ky, LLC Dba Baptist Home Health Care Home health agency, Lexington, KY, CCN 187104
  • Caretenders Home health agency, Lexington, KY, CCN 187084
  • Baptist Health Lexington Hospital, Lexington, KY, CCN 180103
  • Saint Joseph East Hospital, Lexington, KY, CCN 180143
  • Baptist Health Richmond Hospital, Richmond, KY, CCN 180049

Merit-based Incentive Payment System (MIPS)

Final score
94.29 of 100Reported as apm
Quality
87.32
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
36621KYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Health Medical Group Inc CurrentSince Jan 1, 2019 Accepting new patients
Baptist Health Medical Group Inc CurrentSince Jan 1, 2019 Accepting new patients

Locations

1740 Nicholasville Rd
Lexington, KY 40503
Phone (859) 260-6100

4071 Tates Creek Centre Dr
Ste 202
Lexington, KY 40517
Phone (859) 260-4390

2101 Nicholasville Rd
Ste 304
Lexington, KY 40503
Phone (859) 277-5771

Organizations & group practices 2

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1121385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607040000000",
    "number": "1003815622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 NICHOLASVILLE RD STE 304",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405032526",
            "telephone_number": "859-277-5771",
            "fax_number": "859-276-4622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 NICHOLASVILLE RD STE 304",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405032526",
            "telephone_number": "859-277-5771",
            "fax_number": "859-276-4622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOONEY",
        "first_name": "STEPHEN",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-15",
        "last_updated": "2020-12-04",
        "certification_date": "2020-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KY",
            "license": "36621",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "smooney8017@bhkydirect.com",
            "affiliation": "N",
            "address_1": "2101 Nicholasville Rd Ste 304",
            "city": "Lexington",
            "state": "KY",
            "country_code": "US",
            "postal_code": "405032526",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

Verify at the official NPI Registry.