Individual provider Active NPI

Kristofer Edward Charles Nava, MD

  • Surgery Physician
  • Owensboro, KY
National Provider Identifier
1154859643
Registry record updated Dec 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
58111 Issued in KY
Practice address
2235 Mayfair Dr
Owensboro, KY 42301-4519
Phone
(270) 688-1500
Fax
(270) 688-1501
NPI assigned
May 26, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 4301506733 MI
Surgery Physician 208600000X 58111 KY Primary

Addresses

Primary practice location

2235 Mayfair Dr
Owensboro, KY 42301-4519

Mailing address

PO Box 23229
Owensboro, KY 42304-3229
Phone (270) 688-1330

Other practice location 1

910 Wallace Ave Ste 206
Leitchfield, KY 42754-2408
Phone (270) 259-3035

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address knava122881@direct.owensborohealth.org Direct
Direct Messaging Address direct@direct.bronsonhg.org Direct Bronson Healthcare Group
Direct Messaging Address knava122881@direct.owensborohealth.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, IN2 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
I20230816002663 KY Practitioner - General SurgeryPractitioner - Other (Physician) 7012285778 Reassigns benefits to 2 organizations
I20241202000654 IN Practitioner - General Surgery 7012285778 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baptist Health Medical Group IncGroup PAC ID 5597867184, 2,431 clinicians

Practice addresses (Care Compare)

1850 State St
New Albany, IN 47150-4990
Phone (812) 542-4921

200 Cardinal Dr
Suite 210
Elizabethtown, KY 42701-2777
Phone (270) 769-5551

Hospital & facility affiliations

  • Baptist Health Floyd Hospital, New Albany, IN, CCN 150044
  • Baptist Health Hardin Hospital, Elizabethtown, KY, CCN 180012

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux27
Melanoma (skin cancer) excision1-10
Removal of tissue14
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Health Medical Group Inc Surgery CurrentSince Nov 1, 2024 Accepting new patients
Owensboro Health Medical Group Inc CurrentSince Sep 1, 2023 Accepting new patients
Owensboro Health Medical Group Inc Surgery Current Accepting new patients
Baptist Health Medical Group Inc CurrentSince Nov 1, 2024 Accepting new patients
Baptist Health Medical Group Inc Current Accepting new patients
Owensboro Health Medical Group Inc CurrentSince Sep 1, 2023 Accepting new patients
Owensboro Health Inc Past Accepting new patients

Locations

1373 N State Road 62
Madison, IN 47250
Phone (812) 801-0196

1850 State St
New Albany, IN 47150
Phone (812) 944-7701

2125 State St
Ste 3
New Albany, IN 47150
Phone (812) 949-5575

200 Cardinal Dr
Ste 210
Elizabethtown, KY 42701
Phone (270) 769-5551

910 Wallace Ave
Ste 206
Leitchfield, KY 42754
Phone (270) 259-3035

1901 Campus Pl
Louisville, KY 40299
Phone (502) 253-4911

2235 Mayfair Dr
Owensboro, KY 42301
Phone (270) 688-1500

2211 Mayfair Dr
Ste 101
Owensboro, KY 42301
Phone (270) 688-1352

2211 Mayfair Dr
Ste 102
Owensboro, KY 42301
Phone (270) 688-1351

Interoperability endpoints

  • Direct secure messaging: knava724194@direct.hfhs.org

Organizations & group practices 8

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.

Hospital & facility affiliations 2

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": "1495756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703116800000",
    "number": "1154859643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 23229",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423043229",
            "telephone_number": "270-688-1330",
            "fax_number": "270-688-1338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2235 MAYFAIR DR",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423014519",
            "telephone_number": "270-688-1500",
            "fax_number": "270-688-1501"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "910 Wallace Ave Ste 206",
            "address_purpose": "LOCATION",
            "city": "Leitchfield",
            "state": "KY",
            "postal_code": "427542408",
            "country_code": "US",
            "telephone_number": "270-259-3035",
            "fax_number": "270-259-3332",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NAVA",
        "first_name": "KRISTOFER",
        "middle_name": "EDWARD CHARLES",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-05-26",
        "last_updated": "2023-12-21",
        "certification_date": "2023-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MI",
            "license": "4301506733",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "KY",
            "license": "58111",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "knava122881@direct.owensborohealth.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2235 Mayfair Dr",
            "city": "Owensboro",
            "state": "KY",
            "country_code": "US",
            "postal_code": "423014519",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "direct@direct.bronsonhg.org",
            "affiliation": "Y",
            "endpointDescription": "Bronson Healthcare Group Direct address",
            "affiliationName": "Bronson Healthcare Group",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Continuity of Care Document",
            "address_1": "601 John St",
            "city": "Kalamazoo",
            "state": "MI",
            "country_code": "US",
            "postal_code": "490075341",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "knava122881@direct.owensborohealth.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "910 Wallace Ave Ste 206",
            "city": "Leitchfield",
            "state": "KY",
            "country_code": "US",
            "postal_code": "427542408",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Owensboro, KY

Sources for this page

Verify at the official NPI Registry.