Individual provider Active NPI

Frank Taddeo, M.D.

  • Sports Medicine (Family Medicine) Physician
  • Mount Sterling, KY
National Provider Identifier
1164884904
Registry record updated Aug 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X
License
54396 Issued in KY
Practice address
624 Maysville Rd
Mount Sterling, KY 40353-9767
Phone
(859) 497-4144
Fax
(859) 498-4137
NPI assigned
Mar 22, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Family Medicine) Physician 207QS0010X 54396 KY Primary
Family Medicine Physician 207Q00000X 008238 GA
Family Medicine Physician 207Q00000X 15805 ND

Addresses

Primary practice location

624 Maysville Rd
Mount Sterling, KY 40353-9767

Mailing address

PO Box 936
London, KY 40743-0936

Other practice location 1

725 Hamline St- Altru Family Medicine Residency
Grand Forks, ND 58203-2819
Phone (701) 780-6800

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
I20200910000794 KY Practitioner - Sports Medicine 3870886013 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Sports Medicine
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

211 Fountain CT
Suite 320
Lexington, KY 40509-2697
Phone (859) 264-9820

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
15805NDMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kentuckyone Health Medical Group, Inc. Family Medicine CurrentSince Sep 1, 2020 Accepting new patients
Kentuckyone Health Medical Group, Inc. CurrentSince Sep 1, 2020 Accepting new patients
Neurosurgical Associates PSC Current Accepting new patients

Locations

305 Estill St
Berea, KY 40403
Phone (859) 986-1415

160 N Eagle Creek Dr
Lexington, KY 40509
Phone (859) 264-9820

1401 Harrodsburg Rd
Ste A300
Lexington, KY 40504
Phone (859) 313-4744

211 Fountain Ct
Lexington, KY 40509
Phone (859) 263-8807

211 Fountain Ct
Ste 320
Lexington, KY 40509
Phone (859) 264-9820

624 Maysville Rd
Mt Sterling, KY 40353
Phone (859) 497-4144

1850 Bypass Rd
Winchester, KY 40391
Phone (859) 744-5111

Interoperability endpoints

  • Direct secure messaging: franktaddeo@kysjhspe.allscriptsdirect.net
  • Direct secure messaging: ftaddeo275025@direct.stlukeshealth.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.

Hospital & facility affiliations 5

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": "1458604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787270400000",
    "number": "1164884904",
    "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": "859-498-4137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "624 MAYSVILLE RD",
            "city": "MOUNT STERLING",
            "state": "KY",
            "postal_code": "403539767",
            "telephone_number": "859-497-4144",
            "fax_number": "859-498-4137"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "725 Hamline St- Altru Family Medicine Residency",
            "address_purpose": "LOCATION",
            "city": "Grand Forks",
            "state": "ND",
            "postal_code": "582032819",
            "country_code": "US",
            "telephone_number": "701-780-6800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TADDEO",
        "first_name": "FRANK",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-03-22",
        "last_updated": "2026-08-21",
        "certification_date": "2026-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "KY",
            "license": "54396",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "008238",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ND",
            "license": "15805",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Sterling, KY

Sources for this page

Verify at the official NPI Registry.