NPIMap

Individual provider Active NPI

Nicholas James Fahey, MD

  • Emergency Medicine Physician
  • Lexington, KY
National Provider Identifier
1134655442
Registry record updated Apr 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
56045 Issued in KY
Practice address
1221 S Broadway
Lexington, KY 40504-2701
Phone
(859) 258-4000
Fax
(859) 258-6203
NPI assigned
May 5, 2017
Last updated
Apr 13, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X R5071 KY
Emergency Medicine Physician 207P00000X 56045 KY Primary

Addresses

Primary practice location

1221 S Broadway
Lexington, KY 40504-2701

Mailing address

1221 S Broadway
Lexington, KY 40504-2701
Phone (859) 258-6200

Other practice location 1

780 Rose Street
Room M53
Lexington, KY 40536-0298
Phone (859) 323-5908

Other identifiers 1

IdentifierTypeStateIssuer
7100681340MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220601000778 KY Practitioner - Emergency Medicine 3072939917 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of Kentucky College of Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New Lexington Clinic PSCGroup PAC ID 3476457532, 329 clinicians

Practice addresses (Care Compare)

1221 S Broadway
Lexington, KY 40504-2701
Phone (859) 258-4000

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Cumberland County Hospital Association Inc Emergency Medicine CurrentSince Mar 18, 2022 Accepting new patients
Monroe Medical Foundation, Inc. Emergency Medicine CurrentSince Mar 18, 2022 Accepting new patients
Jane Todd Crawford Memorial Hospital, Inc. CurrentSince Mar 18, 2022 Accepting new patients
Jane Todd Crawford Memorial Hospital, Inc. CurrentSince Mar 18, 2022 Accepting new patients
New Lexington Clinic PSC CurrentSince Apr 14, 2023 Accepting new patients
Southeastern Emergency Physicians LLC Emergency Medicine CurrentSince Jul 1, 2022 Accepting new patients
Casey County Hospital District CurrentSince Mar 18, 2022 Accepting new patients
Cumberland County Hospital Association Inc CurrentSince Mar 18, 2022 Accepting new patients
Pine Mountain Emergency Group Limited Liability Company Emergency Medicine CurrentSince May 23, 2022 Accepting new patients
Casey County Hospital District CurrentSince Mar 18, 2022 Accepting new patients
Monroe Medical Foundation Inc CurrentSince Mar 18, 2022 Accepting new patients
New Lexington Clinic, PSC CurrentSince Apr 14, 2023 Accepting new patients
Wayne County Hospital, Inc Emergency Medicine CurrentSince Mar 25, 2022 Accepting new patients
Wayne County Hospital, Inc CurrentSince Mar 25, 2022 Accepting new patients
Ky-I Medical Services, P.S.C. Past Accepting new patients
Saint Joseph Health System, Inc Past Accepting new patients

Locations

299 Glasgow Rd
Burkesville, KY 42717
Phone (270) 864-2511

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

290 Industrial Park Rd
Greensburg, KY 42743
Phone (270) 634-1921

310 Industrial Park Rd
Greensburg, KY 42743
Phone (270) 299-2286

81 Ball Park Rd
Harlan, KY 40831
Phone (606) 573-8100

299 Kings Daughters Dr
Hatton, KY 40601
Phone (502) 875-5240

1 Saint Joseph Dr
Lexington, KY 40504
Phone (502) 350-5000

1221 S Broadway
Lexington, KY 40504
Phone (859) 258-4181

187 Wolford Ave
Liberty, KY 42539
Phone (606) 787-5044

166 Hospital St
Monticello, KY 42633
Phone (606) 340-3251

529 Capp Harlan Rd
Tompkinsville, KY 42167
Phone (270) 487-6048

Interoperability endpoints

  • FHIR API: https://fhir-usa.unify.chbase.com/org/caseyco-4151b385
  • FHIR API: https://fhir-usa.unify.chbase.com/org/janetod-f1571d3c
  • Direct secure messaging: nfahey16450@ukhcdirect.org

Organizations & group practices 16

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 16

Hospital & facility affiliations 7

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": "1493942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681344000000",
    "number": "1134655442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1221 S BROADWAY",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405042701",
            "telephone_number": "859-258-6200",
            "fax_number": "859-258-6203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1221 S BROADWAY",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405042701",
            "telephone_number": "859-258-4000",
            "fax_number": "859-258-6203"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "780 Rose Street",
            "address_2": "Room M53",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "KY",
            "postal_code": "405360298",
            "country_code": "US",
            "telephone_number": "859-323-5908",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FAHEY",
        "first_name": "NICHOLAS",
        "middle_name": "JAMES",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-05-05",
        "last_updated": "2023-04-13",
        "certification_date": "2023-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "KY",
            "license": "R5071",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "KY",
            "license": "56045",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100681340",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

Verify at the official NPI Registry.