Individual provider Active NPI

Peter John Giannone Jr., MD

  • Neonatal-Perinatal Medicine Physician
  • Lexington, KY
National Provider Identifier
1124020144
Registry record updated Aug 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neonatal-Perinatal Medicine PhysicianTaxonomy code 2080N0001X
License
46822 Issued in KY
Practice address
800 Rose Street MN 470
Lexington, KY 40536-0001
Phone
(859) 323-1496
Fax
(859) 323-1496
NPI assigned
Aug 10, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neonatal-Perinatal Medicine Physician 2080N0001X 46822 KY Primary

Addresses

Primary practice location

800 Rose Street MN 470
Lexington, KY 40536-0001

Mailing address

800 Rose Street MN 470
Lexington, KY 40536-0001
Phone (859) 323-1496

Other identifiers 3

IdentifierTypeStateIssuer
64058076MedicaidKY
2006758000MedicaidWV
2331319MedicaidOH

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
I20140403002009 KY Practitioner - Pediatric Medicine 0547454647 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
46822KYMDNeonatal-Perinatal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Joseph Health System, Inc. CurrentSince Jul 1, 2024 Accepting new patients
Saint Joseph Health System, Inc. CurrentSince Jul 1, 2024 Accepting new patients
Baptist Health Medical Group Inc CurrentSince Aug 1, 2017 Accepting new patients
Baptist Health Medical Group Inc CurrentSince Aug 1, 2017 Accepting new patients
Kentucky Medical Services Foundation, Inc CurrentSince Feb 14, 2014 Accepting new patients
University of Kentucky Past Accepting new patients
Saint Joseph Health System, Inc Past Accepting new patients

Locations

1 Trillium Way
Corbin, KY 40701
Phone (606) 523-8521

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

800 Rose St
Lexington, KY 40536
Phone (859) 257-8562

150 N Eagle Creek Dr
Lexington, KY 40509
Phone (859) 267-9773

800 Rose St
#470
Lexington, KY 40536
Phone (859) 257-5522

2400 Greatstone Pt
Lexington, KY 40504
Phone (859) 257-9800

1001 Saint Joseph Ln
London, KY 40741
Phone (606) 330-6000

Interoperability endpoints

  • Direct secure messaging: pgiannone61819@ukhcdirect.org

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": "1123632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438905600000",
    "number": "1124020144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 ROSE STREET MN 470",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405360001",
            "telephone_number": "859-323-1496",
            "fax_number": "859-257-6066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 ROSE STREET MN 470",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405360001",
            "telephone_number": "859-323-1496",
            "fax_number": "859-323-1496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIANNONE",
        "first_name": "PETER",
        "middle_name": "JOHN",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-10",
        "last_updated": "2015-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080N0001X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": "KY",
            "license": "46822",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64058076",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2006758000",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2331319",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

Verify at the official NPI Registry.