Individual provider Active NPI

Katelyn Garner Zummer, MD

  • Internal Medicine Physician
  • Lexington, KY
National Provider Identifier
1194220475
Registry record updated Aug 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
55829 Issued in KY
Practice address
830 S Limestone
Lexington, KY 40536-1711
Phone
(859) 323-2778
Fax
(859) 257-8708
NPI assigned
Mar 28, 2018
Last updated
Aug 30, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Internal Medicine Physician 207R00000X 55829 KY Primary
Internal Medicine Physician 207R00000X TP309 KY

Addresses

Primary practice location

830 S Limestone
Lexington, KY 40536-1711

Mailing address

830 S Limestone
Lexington, KY 40536-0001
Phone (859) 323-2778

Other practice location 1

3101 Wall St
Lexington, KY 40513-1711
Phone (859) 323-9918

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
I20210813003244 KY Practitioner - Internal Medicine 5395073647 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
TP309KYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Kentucky Internal Medicine CurrentSince Aug 30, 2023 Accepting new patients
Uk Healthcare Past Accepting new patients

Locations

800 Rose St
Lexington, KY 40536
Phone (859) 257-8562

830 S Limestone
Lexington, KY 40536
Phone (859) 257-6451

Interoperability endpoints

  • Direct secure messaging: kzummer18123@ukhcdirect.org

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": "1522195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693353600000",
    "number": "1194220475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "830 S LIMESTONE",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405360001",
            "telephone_number": "859-323-2778",
            "fax_number": "859-219-8708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 S LIMESTONE",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405361711",
            "telephone_number": "859-323-2778",
            "fax_number": "859-257-8708"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3101 Wall St",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "KY",
            "postal_code": "405131711",
            "country_code": "US",
            "telephone_number": "859-323-9918",
            "fax_number": "859-219-6440",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZUMMER",
        "first_name": "KATELYN",
        "middle_name": "GARNER",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-28",
        "last_updated": "2023-08-30",
        "certification_date": "2023-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KY",
            "license": "55829",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KY",
            "license": "TP309",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

Verify at the official NPI Registry.