Individual provider Active NPI

Bhavini Bharat Mody, APRN

  • Pediatric Nurse Practitioner
  • Lexington, KY
National Provider Identifier
1023270568
Registry record updated Jun 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
3005629 Issued in KY
Practice address
496 Southland Dr
Lexington, KY 40503-1827
Phone
(859) 288-2425
Fax
(859) 288-7510
NPI assigned
Jun 26, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 3005629 KY Primary

Addresses

Primary practice location

496 Southland Dr
Lexington, KY 40503-1827

Mailing address

496 Southland Dr
Lexington, KY 40503-1827
Phone (859) 288-2392

Other identifiers 1

IdentifierTypeStateIssuer
7100047050MedicaidKY

Other names 1

  • Bhavini Bharat Mody Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
3005629KYMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Healthfirst Bluegrass Inc. CurrentSince Nov 16, 2011 Accepting new patients
Healthfirst Bluegrass Inc CurrentSince Nov 16, 2011 Accepting new patients

Locations

555 E Fifth St
Lexington, KY 40508
Phone (859) 252-2371

1640 Bryan Station Rd
Ste 1
Lexington, KY 40505

122 Arceme Ave
Lexington, KY 40505

2433 Regency Rd
Lexington, KY 40503
Phone (859) 252-2371

650 Newtown Pike
Lexington, KY 40508
Phone (859) 252-2371

161 Bruce St
Lexington, KY 40507
Phone (859) 381-3418

1113 Centre Pkwy
Lexington, KY 40517
Phone (859) 381-3606

551 Parkside Dr
Lexington, KY 40505
Phone (859) 381-3512

707 Howard St
Lexington, KY 40508
Phone (859) 381-3263

2101 Saint Mathilda Dr
Lexington, KY 40502
Phone (859) 381-3273

350 N Limestone
Lexington, KY 40508
Phone (859) 381-3192

218 Mandalay Rd
Lexington, KY 40504
Phone (859) 381-3340

496 Southland Dr
Lexington, KY 40503
Phone (859) 288-2392

1111 Centre Pkwy
Lexington, KY 40517

Interoperability endpoints

  • Direct secure messaging: bhavini.mody-high.1@32600.direct.athenahealth.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1214438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749686400000",
    "number": "1023270568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "496 SOUTHLAND DR",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405031827",
            "telephone_number": "859-288-2392",
            "fax_number": "859-721-3918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "496 SOUTHLAND DR",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405031827",
            "telephone_number": "859-288-2425",
            "fax_number": "859-288-7510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MODY",
        "first_name": "BHAVINI",
        "middle_name": "BHARAT",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-26",
        "last_updated": "2025-06-12",
        "certification_date": "2025-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "KY",
            "license": "3005629",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100047050",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BHAVINI",
            "last_name": "MODY",
            "middle_name": "BHARAT",
            "credential": "APRN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lexington, KY

Sources for this page

Verify at the official NPI Registry.