NPIMap

Organization Active NPI

Davanand Doodnauth,M.D., PSC

  • Internal Medicine Physician
  • Lexington, KY
National Provider Identifier
1093019093
Registry record updated Jul 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
DAVANAND DOODNAUTH,M.D., PSC
Practice address
1050 Monarch St Ste 300
Lexington, KY 40513-1877
Phone
(859) 286-9951
Fax
(859) 286-9952
NPI assigned
Jan 5, 2011
Last updated
Jul 8, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2021

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

Authorized official

Name
Dr. Davanand Doodanuth, MD
Title
President
Phone
(859) 523-0732

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X
General Acute Care Hospital 282N00000X 40574 KY
Medical Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363AM0700X
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X

Addresses

Primary practice location

1050 Monarch St Ste 300
Lexington, KY 40513-1877

Mailing address

PO Box 911014
Lexington, KY 40591-1014
Phone (859) 523-0732

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110301000206 KY Part B Supplier - Clinic/Group Practice 5799966446 Receives reassigned benefits from 22 practitioners
Practice locations: Lexington, KY

National Provider Directory

National Provider Directory

Locations

1050 Monarch St
Ste 300
Lexington, KY 40513
Phone (859) 286-9951

386 Waller Ave
Ste 108
Lexington, KY 40504

Practitioners & affiliated clinicians

Practitioners 22

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 22

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1294185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625702400000",
    "number": "1093019093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 911014",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405911014",
            "telephone_number": "859-523-0732",
            "fax_number": "859-523-1946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 MONARCH ST STE 300",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405131877",
            "telephone_number": "859-286-9951",
            "fax_number": "859-286-9952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVANAND DOODNAUTH,M.D., PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-05",
        "last_updated": "2021-07-08",
        "certification_date": "2021-07-08",
        "status": "A",
        "authorized_official_last_name": "DOODANUTH",
        "authorized_official_first_name": "DAVANAND",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "859-523-0732",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "KY",
            "license": "40574",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "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 Jul 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.