Active NPI
Madeline Klaesner Harris, MD
- Pediatrics Physician
- Lexington, KY
National Provider Identifier
1184251241
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 57848
- Practice address
- 135 E Maxwell St Ste 200
Lexington, KY 40508-2622 - Phone
- (859) 323-6211
- Fax
- (859) 257-9821
- NPI assigned
- Mar 26, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospitalist Physician | 208M00000X | 57848 | KY | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Pediatrics Physician | 208000000X | 57848 | KY | Primary |
Addresses
Primary practice location
135 E Maxwell St Ste 200
Lexington, KY 40508-2622
Mailing address
800 Rose St RM MN-118
Lexington, KY 40536-7001
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 57848 | KY | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kentucky Medical Services Foundation, Inc | Pediatrics | Current | Accepting new patients |
| University of Kentucky | Current | Accepting new patients |
Locations
135 E Maxwell St
Ste 200
Lexington, KY 40508
Phone (859) 422-4370
800 Rose St
Rm MN118
Lexington, KY 40536
Phone (859) 323-5157
800 Rose St
Lexington, KY 40536
Phone (859) 257-8562
2400 Greatstone Pt
Lexington, KY 40504
Phone (859) 257-9800
Organizations & group practices 2
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.
-
- Internal Medicine Physician
- Lexington, KY
- NPI 1326091448
Pediatrics
-
- Diagnostic Radiology Physician
- Lexington, KY
- NPI 1770771974
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1585180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721001600000",
"number": "1184251241",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 ROSE ST RM MN-118",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405367001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "135 E MAXWELL ST STE 200",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405082622",
"telephone_number": "859-323-6211",
"fax_number": "859-257-9821"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRIS",
"first_name": "MADELINE",
"middle_name": "KLAESNER",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-03-26",
"last_updated": "2024-07-15",
"certification_date": "2024-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "KY",
"license": "57848",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "KY",
"license": "57848",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lexington, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.