NPIMap

Individual provider Active NPI

Andrew D Buckley, D.O.

  • Emergency Medicine Physician
  • Lexington, KY
National Provider Identifier
1013273853
Registry record updated Mar 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
03875 Issued in KY
Practice address
2032 Twain Ridge Dr
Lexington, KY 40514-1325
Phone
(989) 780-0613
NPI assigned
Apr 5, 2012
Last updated
Mar 3, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 3, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 03875 KY Primary
Family Medicine Physician 207Q00000X 0116024155 VA

Addresses

Primary practice location

2032 Twain Ridge Dr
Lexington, KY 40514-1325

Mailing address

2032 Twain Ridge Dr
Lexington, KY 40514-1325

Other practice location 1

1221 S Broadway
Lexington, KY 40504-2701
Phone (859) 258-4000

Other identifiers 1

IdentifierTypeStateIssuer
7100382300MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150914000717 KY Practitioner - Family PracticePractitioner - Emergency Medicine 8628222783 Reassigns benefits to 11 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Emergency Medicine
Education
Michigan State University College of Osteopathic Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Abode Care Partners LTC VB LLCGroup PAC ID 8325316516, 81 clinicians
SHC Medical Partners of Kentucky, LLCGroup PAC ID 1153406301, 45 clinicians

Practice addresses (Care Compare)

2529 Six Mile LN
Louisville, KY 40220-2934
Phone (502) 491-5560

3576 Pimlico Pkwy
Lexington, KY 40517-3700
Phone (859) 272-0608

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
0116024155VAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southeastern Emergency Physicians LLC Emergency Medicine CurrentSince Sep 1, 2015 Accepting new patients
SHC Medical Partners of Kentucky, LLC CurrentSince Sep 24, 2023 Accepting new patients
Abode Care Partners LTC VB, LLC CurrentSince Jan 6, 2024 Accepting new patients
Hyden Emergency Physicians, LLC Emergency Medicine CurrentSince Mar 22, 2016 Accepting new patients
Abode Care Partners Al VB, LLC CurrentSince Jul 5, 2024 Accepting new patients
Southern Medical Partners, LLC Emergency Medicine CurrentSince Mar 21, 2016 Accepting new patients
Green Valley Emergency Physicians, LLC Emergency Medicine CurrentSince Apr 1, 2025 Accepting new patients
Williamson Emergency Physicians LLC Emergency Medicine CurrentSince Mar 21, 2016 Accepting new patients
Floyd Emergency Group, LLC Emergency Medicine CurrentSince Sep 1, 2016 Accepting new patients
Middlesborough Emergency Physicians LLC Emergency Medicine CurrentSince Mar 21, 2016 Accepting new patients
CG Medical Associates Inc Family Medicine CurrentSince Feb 20, 2024 Accepting new patients
Abode Care Partners LTC VB, LLC CurrentSince Jan 6, 2024 Accepting new patients
Abode Care Partners Al VB, LLC CurrentSince Jul 5, 2024 Accepting new patients
Stanford Care and Rehab, LLC Past Accepting new patients
Danville Physician Practices LLC Past Accepting new patients
Stanford Crossing, LLC Past Accepting new patients
LP Winchester LLC Past Accepting new patients
Frankfort Trails, LLC Past Accepting new patients

Locations

1 Trillium Way
Corbin, KY 40701
Phone (606) 523-8521

650 Sprucewood Ln
Erlanger, KY 41018
Phone (859) 282-6600

7683 Mall Rd
Unit B
Florence, KY 41042
Phone (859) 817-1320

3457 Valleyplaza Pkwy
Ft Wright, KY 41017
Phone (513) 846-6778

100 Medical Dr
Hazard, KY 41701
Phone (606) 439-6600

130 Kate Ireland Dr
Hyden, KY 41749
Phone (606) 672-2341

3576 Pimlico Pkwy
Lexington, KY 40517
Phone (859) 252-6676

12201 Bluegrass Pkwy
Louisville, KY 40299
Phone (502) 568-7364

2529 Six Mile Ln
Louisville, KY 40220
Phone (502) 491-5560

805 N Whittington Pkwy
Ste 400
Louisville, KY 40222
Phone (502) 272-3438

3600 Cumberland Ave
Middlesboro, KY 40965
Phone (606) 237-1700

225 Falcon Dr
Mt Sterling, KY 40353
Phone (859) 497-5000

805 N Whittington Pkwy
Northfield, KY 40222
Phone (502) 627-7000

1530 Lone Oak Rd
Paducah, KY 42003
Phone (270) 444-2444

5000 Ky Route 321
Prestonsburg, KY 41653
Phone (606) 886-7645

260 Hospital Dr
South Williamson, KY 41503
Phone (606) 237-1700

7300 Beechmont Ave
Cincinnati, OH 45230
Phone (513) 232-9100

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/19847/brand/3/csg/21/fhir/r4

Organizations & group practices 18

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 18

Hospital & facility affiliations 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1333584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740960000000",
    "number": "1013273853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2032 TWAIN RIDGE DR",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405141325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2032 TWAIN RIDGE DR",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405141325",
            "telephone_number": "989-780-0613"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1221 S Broadway",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "KY",
            "postal_code": "405042701",
            "country_code": "US",
            "telephone_number": "859-258-4000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUCKLEY",
        "first_name": "ANDREW",
        "middle_name": "D",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-04-05",
        "last_updated": "2025-03-03",
        "certification_date": "2025-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "KY",
            "license": "03875",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0116024155",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100382300",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

Verify at the official NPI Registry.