Active NPI
Aptiva Health
- Durable Medical Equipment & Medical Supplies
- Lexington, KY
National Provider Identifier
1053086355
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- APTIVA HEALTH
- Practice address
- 230 Fountain CT Ste 180
Lexington, KY 40509-1896 - Phone
- (859) 592-1008
- Fax
- (855) 859-0123
- NPI assigned
- Aug 10, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Thomas Huhn, MD
- Title
- Director
- Phone
- (502) 909-0772
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
230 Fountain CT Ste 180
Lexington, KY 40509-1896
Mailing address
12300 Plantside Dr
Louisville, KY 40299-6345
Phone (502) 909-0772
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20211202000953 | KY | DME Supplier - Multi-Specialty - Physician | 0547595316 | Practice locations: Lexington, KY |
Other NPIs with the same Medicare PAC ID 5
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1628553600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1733184000000",
"number": "1053086355",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12300 PLANTSIDE DR",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402996345",
"telephone_number": "502-909-0772",
"fax_number": "855-859-0123"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "230 FOUNTAIN CT STE 180",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405091896",
"telephone_number": "859-592-1008",
"fax_number": "855-859-0123"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "APTIVA HEALTH",
"organizational_subpart": "NO",
"enumeration_date": "2021-08-10",
"last_updated": "2024-12-03",
"certification_date": "2024-12-03",
"status": "A",
"authorized_official_last_name": "HUHN",
"authorized_official_first_name": "THOMAS",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "502-909-0772",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lexington, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.