Individual provider Active NPI

Michael G. Rukavina, MD

  • Interventional Cardiology Physician
  • Lexington, KY
National Provider Identifier
1033141866
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
29562 Issued in KY
Practice address
1760 Nicholasville Rd Ste 402
Lexington, KY 40503-1444
Phone
(859) 278-0383
Fax
(859) 278-0316
NPI assigned
Jul 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 29562 KY
Clinical Cardiac Electrophysiology Physician 207RC0001X 29562 KY
Interventional Cardiology Physician 207RI0011X 29562 KY Primary

Addresses

Primary practice location

1760 Nicholasville Rd Ste 402
Lexington, KY 40503-1444

Mailing address

1760 Nicholasville Rd Ste 402
Lexington, KY 40503-1444
Phone (859) 278-0383

Other practice location 1

120 Progress Way
Owenton, KY 40359-6032
Phone (859) 278-0383 ext. 7601

Other identifiers 2

IdentifierTypeStateIssuer
060019845OtherKYRAILROAD MEDICARE
6429562900MedicaidKY

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040827000328 KY Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology) 9335110410 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional Cardiology
Education
Louisiana State University School of Medicine in New Orleans, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lexington Heart Specialists PSCGroup PAC ID 4082685169, 2 clinicians

Practice addresses (Care Compare)

1760 Nicholasville Rd
Suite 402
Lexington, KY 40503-1444
Phone (859) 278-0383

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
77.9 of 100Reported as group
Quality
67.91
Improvement activities
40
Cost
69.14

Procedures performed for Medicare patients

ProcedureNumber of procedures
Pacemaker insertion or repair1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. 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 Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Lexington Heart Specialists, PSC Cardiovascular Disease CurrentSince Nov 1, 2017 Accepting new patients
Scully and Jones, PSC Cardiovascular Disease Current Accepting new patients
Baptist Healthcare System Inc PastSince Nov 1, 2017 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

1002 Leawood Dr
Frankfort, KY 40601
Phone (502) 227-7188

1760 Nicholasville Rd
Ste 402
Lexington, KY 40503
Phone (859) 260-4560

1720 Nicholasville Rd
Ste 601
Lexington, KY 40503
Phone (859) 971-4652

Interoperability endpoints

  • Direct secure messaging: mrukavina@lexingtonheart.qrsdm.com

Organizations & group practices 4

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 1

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": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1033141866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1760 NICHOLASVILLE RD STE 402",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405031444",
            "telephone_number": "859-278-0383",
            "fax_number": "859-278-0316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1760 NICHOLASVILLE RD STE 402",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405031444",
            "telephone_number": "859-278-0383",
            "fax_number": "859-278-0316"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "120 Progress Way",
            "address_purpose": "LOCATION",
            "city": "Owenton",
            "state": "KY",
            "postal_code": "403596032",
            "country_code": "US",
            "telephone_number": "859-278-0383 x7601",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUKAVINA",
        "first_name": "MICHAEL",
        "middle_name": "G.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-06",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "KY",
            "license": "29562",
            "primary": false
        },
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "KY",
            "license": "29562",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "KY",
            "license": "29562",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "060019845",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6429562900",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

Verify at the official NPI Registry.