Individual provider Active NPI

Vincent Gouge, MD

  • Pediatrics Physician
  • Lexington, KY
National Provider Identifier
1043950660
Registry record updated Jun 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
60912 Issued in KY
Practice address
800 Rose St FL 4
Lexington, KY 40536-0293
Phone
(859) 218-2581
Fax
(859) 257-1632
NPI assigned
Mar 31, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 60912 KY Primary

Addresses

Primary practice location

800 Rose St FL 4
Lexington, KY 40536-0293

Mailing address

800 Rose St RM MN-472
Lexington, KY 40536-0293
Phone (859) 323-5157

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
I20250716001769 KY Practitioner - Pediatric Medicine 3173987575 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
60912KYMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kentucky Mso LLC CurrentSince Nov 1, 2025 Accepting new patients
University of Kentucky CurrentSince Jul 1, 2025 Accepting new patients
Kentucky Medical Services Foundation, Inc Pediatrics CurrentSince Jul 1, 2025 Accepting new patients
Kentucky Mso LLC CurrentSince Nov 1, 2025 Accepting new patients
Kentucky Mso LLC Current Accepting new patients
University of Kentucky Past Accepting new patients

Locations

1140 Lexington Rd
Georgetown, KY 40324
Phone (502) 868-1100

1140 Lexington Rd
Ste 105
Georgetown, KY 40324
Phone (502) 868-5660

800 Rose St
Lexington, KY 40536
Phone (859) 257-8562

800 Rose St
Fl 4
Lexington, KY 40536
Phone (859) 218-2581

800 Rose St
Rm MN472
Lexington, KY 40536
Phone (859) 323-5157

2400 Greatstone Pt
Lexington, KY 40504
Phone (859) 257-9800

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1648684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750377600000",
    "number": "1043950660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 ROSE ST RM MN-472",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405360293",
            "telephone_number": "859-323-5157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 ROSE ST FL 4",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405360293",
            "telephone_number": "859-218-2581",
            "fax_number": "859-257-1632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOUGE",
        "first_name": "VINCENT",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-03-31",
        "last_updated": "2025-06-20",
        "certification_date": "2025-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "KY",
            "license": "60912",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

Verify at the official NPI Registry.