Individual provider Active NPI

Roger D Lampkin Jr., D.P,M.

  • Podiatrist
  • Murray, KY
National Provider Identifier
1053423459
Registry record updated Mar 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
00244 Issued in KY
Practice address
908 B South 12TH St
Murray, KY 42071-2949
Phone
(270) 753-0666
Fax
(270) 753-0684
NPI assigned
Aug 31, 2006
Last updated
Mar 6, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 6, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 00244 KY Primary

Addresses

Primary practice location

908 B South 12TH St
Murray, KY 42071-2949

Mailing address

908 B South 12TH St
Murray, KY 42071-2949
Phone (270) 753-0666

Other identifiers 3

IdentifierTypeStateIssuer
80002447MedicaidKY
90005646MedicaidKY
000000052091OtherKYBLUE SHIELD

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
I20100301000100 KY Practitioner - Podiatry 2466597646 Practice locations: Benton, KY; Murray, KY

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

908 B S 12TH St
Murray, KY 42071-2949
Phone (270) 753-0666

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue1659
Removal or shaving of skin growth129

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Stuart a Naulty & Roger D Lampkin Podiatrist Current Accepting new patients
Roger D Lampkin Jr Podiatrist PastSince Jan 4, 2000 Accepting new patients
Jenna Vaught LLC Podiatrist Past Accepting new patients
Stuart a Naulty & Roger D Lampkin Past Accepting new patients

Locations

615 Old Symsonia Rd
Benton, KY 42025
Phone (270) 527-4800

908B S 12th St
Murray, KY 42071
Phone (270) 753-0666

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, 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": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551830400000",
    "number": "1053423459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "908 B SOUTH 12TH ST",
            "city": "MURRAY",
            "state": "KY",
            "postal_code": "420712949",
            "telephone_number": "270-753-0666",
            "fax_number": "270-753-0684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "908 B SOUTH 12TH ST",
            "city": "MURRAY",
            "state": "KY",
            "postal_code": "420712949",
            "telephone_number": "270-753-0666",
            "fax_number": "270-753-0684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAMPKIN",
        "first_name": "ROGER",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.P,M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2019-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "KY",
            "license": "00244",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "80002447",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "90005646",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "000000052091",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Murray, KY

Sources for this page

Verify at the official NPI Registry.