Individual provider Active NPI

Thomas J Burchett, MD

  • Family Medicine Physician
  • Winchester, KY
National Provider Identifier
1184738965
Registry record updated Mar 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
21227 Issued in KY
Practice address
455 Bullion Blvd
Winchester, KY 40391-2933
Phone
(859) 745-7700
Fax
(859) 745-7733
NPI assigned
Aug 18, 2006
Last updated
Mar 28, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 21227 KY Primary

Addresses

Primary practice location

455 Bullion Blvd
Winchester, KY 40391-2933

Mailing address

4071 Tates Creek Centre Dr
Suite 202
Lexington, KY 40517-3062
Phone (859) 745-7700

Other identifiers 1

IdentifierTypeStateIssuer
64212277MedicaidKY

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
I20100810000159 KY Practitioner - Family Practice 6608900899 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Clark Regional Physician Practices, LLC Family Medicine CurrentSince Sep 1, 2017 Accepting new patients
Clark Regional Physician Practices LLC CurrentSince Sep 1, 2017 Accepting new patients

Locations

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

455 Bullion Blvd
Winchester, KY 40391
Phone (859) 744-2623

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, 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": "1155859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395964800000",
    "number": "1184738965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4071 TATES CREEK CENTRE DR",
            "address_2": "SUITE 202",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405173062",
            "telephone_number": "859-745-7700",
            "fax_number": "859-745-7733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 BULLION BLVD",
            "city": "WINCHESTER",
            "state": "KY",
            "postal_code": "403912933",
            "telephone_number": "859-745-7700",
            "fax_number": "859-745-7733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURCHETT",
        "first_name": "THOMAS",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-18",
        "last_updated": "2014-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "21227",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64212277",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Winchester, KY

Sources for this page

Verify at the official NPI Registry.