Individual provider Active NPI

Thomas Charles Knopp, DO

  • Internal Medicine Physician
  • Lexington, KY
National Provider Identifier
1093998239
Registry record updated Feb 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
03084 Issued in KY
Practice address
2620 Wilhite Dr
Lexington, KY 40503-3385
Phone
(859) 278-6031
NPI assigned
Dec 11, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 25, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 03084 KY
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X 03084 KY Primary

Addresses

Primary practice location

2620 Wilhite Dr
Lexington, KY 40503-3385

Mailing address

2620 Wilhite Dr
Lexington, KY 40503-3385
Phone (859) 278-6031

Other identifiers 2

IdentifierTypeStateIssuer
7100036950MedicaidKY
000000545250OtherKYBLUE CROSS BLUE SHIELD

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080207000016 KY Practitioner - Emergency Medicine 0143303651 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Colorectal Surgical and Gastroenterology Associates PSCGroup PAC ID 4385616127, 10 clinicians

Practice addresses (Care Compare)

2620 Wilhite Dr
Lexington, KY 40503-3385
Phone (859) 278-6031

Hospital & facility affiliations

  • Baptist Health Lexington Hospital, Lexington, KY, CCN 180103
  • Baptist Health Corbin Hospital, Corbin, KY, CCN 180080
  • Saint Joseph East Hospital, Lexington, KY, CCN 180143

Merit-based Incentive Payment System (MIPS)

Final score
90.99 of 100Reported as group
Quality
89.98
Promoting interoperability
96
Improvement activities
40
Cost
83.32

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy67
Upper gastrointestinal (GI) endoscopy for acid reflux151

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
03084KYMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Colorectal Surgical & Gastroenterology Associates PSC CurrentSince Jul 1, 2011 Accepting new patients
Colorectal Surgical & Gastroenterology Associates PSC Multi-Specialty CurrentSince Jul 1, 2011 Accepting new patients

Locations

2620 Wilhite Dr
Ste 222
Lexington, KY 40503
Phone (859) 277-1949

2620 Wilhite Dr
Lexington, KY 40503
Phone (859) 278-6031

Interoperability endpoints

  • Direct secure messaging: thomasknopp@csga.allscriptsdirect.net

Organizations & group practices 2

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.

Hospital & facility affiliations 3

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": "1197331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614211200000",
    "number": "1093998239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2620 WILHITE DR",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405033385",
            "telephone_number": "859-278-6031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2620 WILHITE DR",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405033385",
            "telephone_number": "859-278-6031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNOPP",
        "first_name": "THOMAS",
        "middle_name": "CHARLES",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-12-11",
        "last_updated": "2021-02-25",
        "certification_date": "2021-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "KY",
            "license": "03084",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "KY",
            "license": "03084",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100036950",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "000000545250",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

Verify at the official NPI Registry.