Individual provider Active NPI

Nikola M Mihaylov, M.D.

  • Family Medicine Physician
  • Lexington, KY
National Provider Identifier
1154514347
Registry record updated Nov 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
41342 Issued in KY
Practice address
3581 Harrodsburg Rd Ste 250
Lexington, KY 40513-1140
Phone
(859) 313-6300
Fax
(859) 469-8185
NPI assigned
Aug 22, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0101256554 VA
Family Medicine Physician 207Q00000X 41342 KY Primary

Addresses

Primary practice location

3581 Harrodsburg Rd Ste 250
Lexington, KY 40513-1140

Mailing address

PO Box 936
London, KY 40743-0936

Other practice location 1

225 Hospital Dr
Winchester, KY 40391-7604
Phone (859) 737-6490

Other identifiers 2

IdentifierTypeStateIssuer
01009141MedicaidKY
7100103870MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Signify Health Medical Associates, PLLC CurrentSince Oct 13, 2019 Accepting new patients
Clark Regional Physician Practices, LLC Family Medicine CurrentSince Sep 1, 2015 Accepting new patients
Clark Regional Physician Practices LLC CurrentSince Sep 1, 2015 Accepting new patients

Locations

306 W Main St
Ste 512
Frankfort, KY 40601
Phone (860) 215-2295

225 Hospital Dr
Winchester, KY 40391
Phone (859) 737-8528

225 Hospital Dr
Ste 200A
Winchester, KY 40391
Phone (859) 737-6480

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Interoperability endpoints

  • Direct secure messaging: clrk_-_nikola_mihaylov_-_physician@yourcarecommunity.org

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1187740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573084800000",
    "number": "1154514347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 936",
            "city": "LONDON",
            "state": "KY",
            "postal_code": "407430936",
            "fax_number": "606-330-7825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3581 HARRODSBURG RD STE 250",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405131140",
            "telephone_number": "859-313-6300",
            "fax_number": "859-469-8185"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "225 Hospital Dr",
            "address_purpose": "LOCATION",
            "city": "Winchester",
            "state": "KY",
            "postal_code": "403917604",
            "country_code": "US",
            "telephone_number": "859-737-6490",
            "fax_number": "859-744-5535",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MIHAYLOV",
        "first_name": "NIKOLA",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-22",
        "last_updated": "2019-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101256554",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "41342",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01009141",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100103870",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

Verify at the official NPI Registry.