Individual provider Active NPI

Sara Anne Marie McKenzie, DO

  • Family Medicine Physician
  • Lexington, KY
National Provider Identifier
1134688039
Registry record updated Jan 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
05639 Issued in KY
Practice address
3576 Pimlico Pkwy
Lexington, KY 40517-3700
Phone
(606) 207-2645
NPI assigned
Mar 19, 2019
Last updated
Jan 3, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Family Medicine Physician 207Q00000X 34.017466 OH
Family Medicine Physician 207Q00000X 05639 KY Primary

Addresses

Primary practice location

3576 Pimlico Pkwy
Lexington, KY 40517-3700

Mailing address

9308 E Highway 60
Salt Lick, KY 40371-8767
Phone (606) 207-2645

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, OH2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240228004096 KY Practitioner - Family Practice 6103229943 Reassigns benefits to 1 organization
I20241106002393 OH Practitioner - Family Practice 6103229943 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Pikeville, Kentucky College of Osteopathic Med, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

20 County Barn Rd
Booneville, KY 41314-6500
Phone (606) 593-6302

700 Mason Headley Rd
Lexington, KY 40504-2326
Phone (859) 276-1083

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1697
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
05639KYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vohra Post Acute Care Physicians of the East, PA Family Medicine CurrentSince Jan 22, 2024 Accepting new patients
Vohra Wound Physicians of FL, LLC Family Medicine CurrentSince Sep 30, 2024 Accepting new patients
Vohra Wound Physicians of FL, LLC Family Medicine CurrentSince Sep 30, 2024 Accepting new patients

Locations

3601 SW 160th Ave
Ste 250
Miramar, FL 33027
Phone (305) 866-9951

3576 Pimlico Pkwy
Lexington, KY 40517
Phone (859) 252-6676

10200 Forest Green Blvd
Ste 112
Louisville, KY 40223
Phone (502) 214-5343

1715 Indian Wood Cir
Maumee, OH 43537
Phone (513) 272-0600

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1552953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735862400000",
    "number": "1134688039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9308 E HIGHWAY 60",
            "city": "SALT LICK",
            "state": "KY",
            "postal_code": "403718767",
            "telephone_number": "606-207-2645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3576 PIMLICO PKWY",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405173700",
            "telephone_number": "606-207-2645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKENZIE",
        "first_name": "SARA",
        "middle_name": "ANNE MARIE",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-19",
        "last_updated": "2025-01-03",
        "certification_date": "2025-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "34.017466",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "05639",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

Verify at the official NPI Registry.