Active NPI
Anthony R Pecoraro, MD
- Surgical Critical Care Physician
- Lexington, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Critical Care Physician
- License
- 58962
- Practice address
- 740 S Limestone Ste L119
Lexington, KY 40536-5112 - Phone
- (859) 257-3253
- Fax
- (859) 323-1203
- NPI assigned
- Apr 25, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Critical Care Physician | 2086S0102X | 58962 | KY | Primary |
| Surgery Physician | 208600000X | 01084018A | IN | |
| Student in an Organized Health Care Education/Training Program | 390200000X | 11019177A | IN | |
| Surgery Physician | 208600000X | 58962 | KY |
Addresses
Primary practice location
740 S Limestone Ste L119
Lexington, KY 40536-5112
Mailing address
740 S Limestone Ste L119
Lexington, KY 40536-0001
Other practice location 1
545 Barnhill Dr
Emerson Hall 125
Indianapolis, IN 46202-5112
Phone (317) 274-4966
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN, KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Michigan State University College of Human Medicine, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
740 S Limestone St
Lexington, KY 40508-1683
Phone (859) 257-8562
Hospital & facility affiliations
- University of Kentucky Hospital
- Baptist Health Richmond
- Harrison Memorial Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Hernia repair - groin (open) | 1-10 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11019177A | IN | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kentucky Medical Services Foundation, Inc | Surgery | Current | Accepting new patients |
| University Surgeons, Inc. | Surgery | Current | Accepting new patients |
| University of Kentucky | Current | Accepting new patients | |
| University of Kentucky | Past | Accepting new patients |
Locations
7630 Solutions Ctr
Chicago, IL 60677
550 University Blvd
Indianapolis, IN 46202
Phone (217) 274-5000
250 N Shadeland Ave
Ste 200
Indianapolis, IN 46219
Phone (317) 962-4836
545 Barnhill Dr
#125
Indianapolis, IN 46202
Phone (317) 274-4966
800 Rose St
Lexington, KY 40536
Phone (859) 257-8562
2400 Greatstone Pt
Lexington, KY 40504
Phone (859) 257-9800
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.
-
- Internal Medicine Physician
- Lexington, KY
- NPI 1326091448
Surgery
-
- Diagnostic Radiology Physician
- Lexington, KY
- NPI 1770771974
-
- Surgery Physician
- Indianapolis, IN
- NPI 1316966229
-
- General Acute Care Hospital
- Lexington, KY
- NPI 1518911338
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Richmond, KY
- NPI 1568452290
-
- General Acute Care Hospital
- Cynthiana, KY
- NPI 1629084702
-
- General Acute Care Hospital
- Lexington, KY
- NPI 1518911338
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1493078400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1760918400000",
"number": "1063947356",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "740 S LIMESTONE STE L119",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405360001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "740 S LIMESTONE STE L119",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405365112",
"telephone_number": "859-257-3253",
"fax_number": "859-323-1203"
}
],
"practiceLocations": [
{
"address_1": "545 Barnhill Dr",
"address_2": "Emerson Hall 125",
"address_purpose": "LOCATION",
"city": "Indianapolis",
"state": "IN",
"postal_code": "462025112",
"country_code": "US",
"telephone_number": "317-274-4966",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PECORARO",
"first_name": "ANTHONY",
"middle_name": "R",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-04-25",
"last_updated": "2025-10-20",
"certification_date": "2025-10-20",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0102X",
"taxonomy_group": "",
"desc": "Surgery, Surgical Critical Care",
"state": "KY",
"license": "58962",
"primary": true
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "IN",
"license": "01084018A",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "IN",
"license": "11019177A",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "KY",
"license": "58962",
"primary": false
}
],
"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 Oct 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.