Individual provider Active NPI

Mary Rachel McGuffey, M.D.

  • Pediatrics Physician
  • Lexington, KY
National Provider Identifier
1235157645
Registry record updated Nov 2, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
36721 Issued in KY
Practice address
120 N Eagle Creek Dr
Suite 250
Lexington, KY 40509-1827
Phone
(859) 258-5141
Fax
(859) 258-5168
NPI assigned
Jul 17, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 36721 KY Primary

Addresses

Primary practice location

120 N Eagle Creek Dr
Suite 250
Lexington, KY 40509-1827

Mailing address

120 N Eagle Creek Dr
Suite 250
Lexington, KY 40509-1827
Phone (859) 258-5141

Other identifiers 4

IdentifierTypeStateIssuer
37903705OtherKYMEDICAID LAB GROUP
4000501OtherKYMEDICARE LAB GROUP
64034846MedicaidKY
CB5773OtherRR MEDICARE GROUP

Other names 1

  • Mary Rachel Chamberlain Former name

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
I20031203000038 KY Practitioner - Pediatric Medicine 9931004017 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Medicine
Education
University of Louisville School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New Lexington Clinic PSCGroup PAC ID 3476457532, 329 clinicians

Practice addresses (Care Compare)

120 N Eagle Creek Dr
Suite 250
Lexington, KY 40509-1827
Phone (859) 258-5141

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
New Lexington Clinic PSC CurrentSince Oct 1, 2001 Accepting new patients
New Lexington Clinic, PSC CurrentSince Oct 1, 2001 Accepting new patients

Locations

1221 S Broadway
Lexington, KY 40504
Phone (859) 258-4181

120 N Eagle Creek Dr
Ste 250
Lexington, KY 40509
Phone (859) 258-5141

Interoperability endpoints

  • Direct secure messaging: mary.mcguffey.1@13059.direct.athenahealth.com

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193961600000",
    "number": "1235157645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 N EAGLE CREEK DR",
            "address_2": "SUITE 250",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405091827",
            "telephone_number": "859-258-5141",
            "fax_number": "859-258-5168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 N EAGLE CREEK DR",
            "address_2": "SUITE 250",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405091827",
            "telephone_number": "859-258-5141",
            "fax_number": "859-258-5168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGUFFEY",
        "first_name": "MARY",
        "middle_name": "RACHEL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-17",
        "last_updated": "2007-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "KY",
            "license": "36721",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID LAB GROUP",
            "identifier": "37903705",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE LAB GROUP",
            "identifier": "4000501",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64034846",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE GROUP",
            "identifier": "CB5773",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "CHAMBERLAIN",
            "middle_name": "RACHEL",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lexington, KY

Sources for this page

Verify at the official NPI Registry.