Individual provider Active NPI

Shri K Vaish, M.D

  • Psychiatry Physician
  • Lexington, KY
National Provider Identifier
1023281052
Registry record updated Dec 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
43472 Issued in KY
Practice address
3217 Linville LN
Lexington, KY 40513-1247
Phone
(937) 270-4295
NPI assigned
Apr 10, 2008
Last updated
Dec 22, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Psychiatry & Neurology) Physician 2084A0401X 061364 GA
Addiction Medicine (Psychiatry & Neurology) Physician 2084A0401X 42472 KY
Psychiatry Physician 2084P0800X 061364 GA
Psychiatry Physician 2084P0800X 43472 KY Primary

Addresses

Primary practice location

3217 Linville LN
Lexington, KY 40513-1247

Mailing address

3217 Linville LN
Lexington, KY 40513-1247
Phone (937) 270-4295

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
I20100816000516 KY Practitioner - Psychiatry 1456499359 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3217 Linville LN
Lexington, KY 40513-1247
Phone (859) 987-1001

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
061364GAMDAddiction Medicine (Psychiatry & Neurology) Physician
42472KYMDAddiction Medicine (Psychiatry & Neurology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pineville Community Health Center Inc CurrentSince Jul 1, 2020 Accepting new patients
Bourbon Community Hospital LLC Past Accepting new patients
Communicare Inc PastSince Jul 15, 2011 Accepting new patients
Communicare Inc PastSince Jul 15, 2011 Accepting new patients
Bourbon Community Hospital LLC Past Accepting new patients

Locations

850 Riverview Ave
Pineville, KY 40977
Phone (606) 337-3051

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1207785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671667200000",
    "number": "1023281052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3217 LINVILLE LN",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405131247",
            "telephone_number": "937-270-4295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3217 LINVILLE LN",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405131247",
            "telephone_number": "937-270-4295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAISH",
        "first_name": "SHRI",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-10",
        "last_updated": "2022-12-22",
        "certification_date": "2022-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084A0401X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Medicine",
            "state": "GA",
            "license": "061364",
            "primary": false
        },
        {
            "code": "2084A0401X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Medicine",
            "state": "KY",
            "license": "42472",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "GA",
            "license": "061364",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "KY",
            "license": "43472",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

Verify at the official NPI Registry.