Individual provider Active NPI

Ivan David Morrin, MD

  • Family Medicine Physician
  • Georgetown, KY
National Provider Identifier
1104825934
Registry record updated Dec 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
39654 Issued in KY
Practice address
210 Bevins LN
Ste C
Georgetown, KY 40324-6120
Phone
(502) 868-0622
Fax
(502) 868-9097
NPI assigned
Jul 14, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 39654 KY Primary

Addresses

Primary practice location

210 Bevins LN
Ste C
Georgetown, KY 40324-6120

Mailing address

210 Bevins LN
Ste C
Georgetown, KY 40324-6120
Phone (502) 868-0622

Other identifiers 1

IdentifierTypeStateIssuer
64106701MedicaidKY

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address imorrin4773@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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050729000259 KY Practitioner - Family Practice 3971594300 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Kentucky College of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baptist Health Medical Group IncGroup PAC ID 5597867184, shared by 31 NPIs, 2,431 clinicians

Practice addresses (Care Compare)

210 Bevins LN
Georgetown, KY 40324-6127

210 Bevins LN C
Georgetown, KY 40324-6127
Phone (502) 868-0622

96 Future Dr
Corbin, KY 40701-8988
Phone (606) 528-0305

Hospital & facility affiliations

  • Caretenders Home health agency, Lexington, KY, CCN 187084
  • Hospice of the Bluegrass, Inc Dba Bluegrass Care N Hospice, Lexington, KY, CCN 181500
  • Baptist Health Lexington Hospital, Lexington, KY, CCN 180103
  • Georgetown Community Hospital Hospital, Georgetown, KY, CCN 180101

Merit-based Incentive Payment System (MIPS)

Final score
94.29 of 100Reported as apm
Quality
87.32
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Health Medical Group Inc CurrentSince Jan 1, 2015 Accepting new patients
Baptist Health Medical Group Inc Family Medicine CurrentSince Mar 7, 2020 Accepting new patients
Baptist Health Medical Group Inc CurrentSince Jan 1, 2015 Accepting new patients
Washington Hospital Past Accepting new patients

Locations

60 S Stewart Rd
Corbin, KY 40701
Phone (606) 258-8888

96 Future Dr
Corbin, KY 40701

210 Bevins Ln
Ste C
Georgetown, KY 40324
Phone (502) 868-0622

60 Mercy Ct
Irvine, KY 40336
Phone (606) 723-2115

4071 Tates Creek Centre Dr
Ste 202
Lexington, KY 40517
Phone (859) 260-4390

2101 Nicholasville Rd
Ste 204
Lexington, KY 40503
Phone (859) 260-4330

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.

Hospital & facility affiliations 4

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": "1121299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607040000000",
    "number": "1104825934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 BEVINS LN",
            "address_2": "STE C",
            "city": "GEORGETOWN",
            "state": "KY",
            "postal_code": "403246120",
            "telephone_number": "502-868-0622",
            "fax_number": "502-868-9097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 BEVINS LN",
            "address_2": "STE C",
            "city": "GEORGETOWN",
            "state": "KY",
            "postal_code": "403246120",
            "telephone_number": "502-868-0622",
            "fax_number": "502-868-9097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORRIN",
        "first_name": "IVAN",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-14",
        "last_updated": "2020-12-04",
        "certification_date": "2020-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "39654",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64106701",
            "state": "KY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "imorrin4773@bhkydirect.com",
            "affiliation": "N",
            "address_1": "210 Bevins Ln",
            "address_2": "STE C",
            "city": "Georgetown",
            "state": "KY",
            "country_code": "US",
            "postal_code": "403246120",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Georgetown, KY

Sources for this page

Verify at the official NPI Registry.