Individual provider Active NPI

Thomas Lewellen Jr., D.O.

  • Obstetrics Physician
  • Lexington, KY
National Provider Identifier
1114912797
Registry record updated Jul 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics PhysicianTaxonomy code 207VX0000X
License
02835 Issued in KY
Practice address
1740 Nicholasville Rd
Lexington, KY 40503-1431
Phone
(859) 260-6970
Fax
(859) 260-6649
NPI assigned
Sep 20, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology Physician 207VG0400X 02835 KY
Obstetrics Physician 207VX0000X 02835 KY Primary

Addresses

Primary practice location

1740 Nicholasville Rd
Lexington, KY 40503-1431

Mailing address

1740 Nicholasville Rd
Lexington, KY 40503-1431
Phone (859) 260-6970

Other identifiers 1

IdentifierTypeStateIssuer
64077936MedicaidKY

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
I20040630000213 KY Practitioner - Obstetrics/Gynecology 2062499940 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

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 Osteopathy

State licenses

LicenseStateTypeSpecialty
02835KYMDObstetrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Health Medical Group Inc CurrentSince Jan 1, 2015 Accepting new patients
Baptist Health Medical Group Inc CurrentSince Jan 1, 2015 Accepting new patients
Baptist Physicians Lexington, Inc Past Accepting new patients
Delta Physician Practices Past Accepting new patients
Baptist Healthcare System, Inc Past Accepting new patients
Baptist Physicians Lexington, Inc Past Accepting new patients
Delta Medical Group Past Accepting new patients

Locations

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

1740 Nicholasville Rd
Lexington, KY 40503
Phone (859) 260-6100

Interoperability endpoints

  • Direct secure messaging: tlewellen7708@bhkydirect.com

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1127174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468368000000",
    "number": "1114912797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1740 NICHOLASVILLE RD",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405031431",
            "telephone_number": "859-260-6970",
            "fax_number": "859-260-6649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1740 NICHOLASVILLE RD",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405031431",
            "telephone_number": "859-260-6970",
            "fax_number": "859-260-6649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWELLEN",
        "first_name": "THOMAS",
        "name_suffix": "Jr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-20",
        "last_updated": "2016-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "KY",
            "license": "02835",
            "primary": false
        },
        {
            "code": "207VX0000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": "KY",
            "license": "02835",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64077936",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

Verify at the official NPI Registry.