Active NPI
Andrew D. Bailey, M.D.
- Gastroenterology Physician
- Louisville, KY
National Provider Identifier
1083616759
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 20497
- Practice address
- 4001 Kresge Way
Suite 130
Louisville, KY 40207-4640 - Phone
- (502) 896-8447
- Fax
- (502) 896-8699
- NPI assigned
- Aug 12, 2005
- Reactivated
- Mar 28, 2006
- Last updated
- Aug 21, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | 20497 | KY | Primary |
Addresses
Primary practice location
4001 Kresge Way
Suite 130
Louisville, KY 40207-4640
Mailing address
PO Box 950248
Louisville, KY 40295-0248
Phone (502) 253-1035
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100019910A | Medicaid | IN | |
| 64204977 | Medicaid | KY | |
| 000000049386 | Other | KY | BCBS |
| 1058803 | Other | KY | PASSPORT |
| 2434025000 | Other | KY | PASSPORT ADVANTAGE |
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
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 94.29 of 100
- Quality
- 87.32
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20497 | KY | MD | Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baptist Health Medical Group Inc | Current | Accepting new patients | |
| Baptist Health Medical Group Inc | Current | Accepting new patients | |
| Andrew D Bailey MD | Gastroenterology | Past | Accepting new patients |
Locations
2603 Kentucky Ave
Ste 304
Paducah, KY 42003
Phone (270) 415-4800
2605 Kentucky Ave
Ste 202
Paducah, KY 42003
Phone (270) 415-4690
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.
-
- Family Medicine Physician
- Paducah, KY
- NPI 1922401611
-
dba Dawson Springs Rural Health Clinic
- Rural Health Clinic/Center
- Dawson Springs, KY
- NPI 1982178216
-
- Gastroenterology Physician
- Louisville, KY
- NPI 1104123041
-
- Internal Medicine Physician
- Elizabethtown, KY
- NPI 1093338527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123804800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1408579200000",
"number": "1083616759",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 950248",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402950248",
"telephone_number": "502-253-1035",
"fax_number": "502-253-1037"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4001 KRESGE WAY",
"address_2": "SUITE 130",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402074640",
"telephone_number": "502-896-8447",
"fax_number": "502-896-8699"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAILEY",
"first_name": "ANDREW",
"middle_name": "D.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-08-12",
"last_updated": "2014-08-21",
"deactivation_date": "2006-03-22",
"reactivation_date": "2006-03-28",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "KY",
"license": "20497",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100019910A",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "64204977",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "000000049386",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PASSPORT",
"identifier": "1058803",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PASSPORT ADVANTAGE",
"identifier": "2434025000",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Louisville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2014; 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.