NPIMap

Individual provider Active NPI

Dennis Andre Ulrich, M.D.

  • Family Medicine Physician
  • East Bernstadt, KY
National Provider Identifier
1063413581
Registry record updated Aug 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
19629 Issued in KY
Practice address
1655 E Highway 3094
East Bernstadt, KY 40729-6216
Phone
(606) 843-2339
Fax
(606) 843-6815
NPI assigned
Aug 9, 2005
Last updated
Aug 3, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 3, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 19629 KY Primary

Addresses

Primary practice location

1655 E Highway 3094
East Bernstadt, KY 40729-6216

Mailing address

1655 E Highway 3094
PO Box 328
East Bernstadt, KY 40729-6216
Phone (606) 843-2339

Other identifiers 3

IdentifierTypeStateIssuer
000000077248OtherKYANTHEM, BC/BS
64196298MedicaidKY
080138185OtherKYRAILROAD MEDCARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050316000512 KY Practitioner - Family Practice 8123005964 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Southern Illinois University School of Medicine, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ulrich Medical ClinicGroup PAC ID 6507261757, 2 clinicians
H2 Rehabilitation Services of Kentucky, LLCGroup PAC ID 5799682688, shared by 7 NPIs, 187 clinicians

Practice addresses (Care Compare)

1655 E Hwy 3094
East Bernstadt, KY 40729-6216
Phone (606) 843-2339

649 Meyers Baker Rd
Suite 102
London, KY 40741-3006
Phone (606) 864-7316

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
33.86 of 100Reported as individual
Quality
15
Improvement activities
0
Cost
84.03

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. 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
Ulrich Medical Clinic Family Medicine CurrentSince Jul 18, 2021 Accepting new patients
Wellspring Counseling Ky Family Medicine PastSince May 24, 2020 Accepting new patients
Internal Medicine Associates of Ky PSC Past Accepting new patients

Locations

1655 E Highway 3094
East Bernstadt, KY 40729
Phone (606) 729-5372

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.

Hospital & facility affiliations 5

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": "1123545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312329600000",
    "number": "1063413581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1655 E HIGHWAY 3094",
            "address_2": "PO BOX 328",
            "city": "EAST BERNSTADT",
            "state": "KY",
            "postal_code": "407296216",
            "telephone_number": "606-843-2339",
            "fax_number": "606-843-6815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1655 E HIGHWAY 3094",
            "city": "EAST BERNSTADT",
            "state": "KY",
            "postal_code": "407296216",
            "telephone_number": "606-843-2339",
            "fax_number": "606-843-6815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ULRICH",
        "first_name": "DENNIS",
        "middle_name": "ANDRE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-09",
        "last_updated": "2011-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "19629",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM, BC/BS",
            "identifier": "000000077248",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64196298",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDCARE",
            "identifier": "080138185",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in East Bernstadt, KY

Sources for this page

Verify at the official NPI Registry.