Active NPI
Kevin T Scully, M.D.
- Cardiovascular Disease Physician
- Lexington, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 22190
- Practice address
- 1720 Nicholasville Rd Ste 400
Lexington, KY 40503-1475 - Phone
- (859) 277-5887
- Fax
- (859) 276-7638
- NPI assigned
- Jun 10, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 22190 | KY | Primary |
Addresses
Primary practice location
1720 Nicholasville Rd Ste 400
Lexington, KY 40503-1475
Mailing address
1720 Nicholasville Rd
Suite 601
Lexington, KY 40503-1475
Phone (859) 277-5887
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6422190600 | Medicaid | KY | |
| 060019842 | Other | KY | RAILROAD MEDICARE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | kscully8695@bhkydirect.com |
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 Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- University of Kentucky College of Medicine, 1976
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1700 Nicholasville Rd
Lexington, KY 40503-1431
4071 Tates Creek Centre Dr
Suite 202
Lexington, KY 40517-3094
Phone (859) 260-4390
Hospital & facility affiliations
- Baptist Health Lexington
Merit-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 |
|---|---|---|---|
| 22190 | KY | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baptist Health Medical Group Inc | Current | Accepting new patients | |
| Scully and Jones, PSC | Cardiovascular Disease | Current | Accepting new patients |
| Baptist Health Medical Group Inc | Current | Accepting new patients |
Locations
1002 Leawood Dr
Frankfort, KY 40601
Phone (502) 227-7188
1720 Nicholasville Rd
Ste 601
Lexington, KY 40503
Phone (859) 971-4652
1720 Nicholasville Rd
Ste 400
Lexington, KY 40503
Phone 8592775887 ext. 7601
4071 Tates Creek Centre Dr
Ste 202
Lexington, KY 40517
Phone (859) 260-4390
Interoperability endpoints
- kscully8695@bhkydirect.com
Organizations & group practices 3
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.
-
- Nurse Practitioner
- Lexington, KY
- NPI 1518360296
-
- Rural Health Clinic/Center
- Dawson Springs, KY
- NPI 1982178216
-
- Cardiovascular Disease Physician
- Lexington, KY
- NPI 1942235585
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Lexington, KY
- NPI 1538244918
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149897600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606867200000",
"number": "1083655708",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1720 NICHOLASVILLE RD",
"address_2": "SUITE 601",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405031475",
"telephone_number": "859-277-5887",
"fax_number": "859-276-7638"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1720 NICHOLASVILLE RD STE 400",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405031475",
"telephone_number": "859-277-5887",
"fax_number": "859-276-7638"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCULLY",
"first_name": "KEVIN",
"middle_name": "T",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-10",
"last_updated": "2020-12-02",
"certification_date": "2020-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "KY",
"license": "22190",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6422190600",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "060019842",
"state": "KY"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "kscully8695@bhkydirect.com",
"affiliation": "N",
"address_1": "1720 Nicholasville Rd Ste 400",
"city": "Lexington",
"state": "KY",
"country_code": "US",
"postal_code": "405031475",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 2, 2020; 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.