Active NPI
Thomas Lewellen Jr., D.O.
- Obstetrics Physician
- Lexington, KY
National Provider Identifier
1114912797
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics Physician
- License
- 02835
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 64077936 | Medicaid | KY |
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 CompareMerit-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 Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 02835 | KY | MD | Obstetrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baptist Health Medical Group Inc | Current | Accepting new patients | |
| Baptist Health Medical Group Inc | Current | 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
- 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.
-
- Nurse Practitioner
- Lexington, KY
- NPI 1518360296
-
- Rural Health Clinic/Center
- Dawson Springs, KY
- NPI 1982178216
-
- General Acute Care Hospital
- Lexington, KY
- NPI 1538244918
-
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Lexington, KY
- NPI 1043403082
-
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Lexington, KY
- NPI 1043583115
-
- Emergency Medicine Physician
- Greenville, MS
- NPI 1790701134
-
- Family Nurse Practitioner
- Greenville, MS
- NPI 1598086639
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2016; 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.