Individual provider Active NPI

Joseph L. Bobadilla, M.D.

  • Surgery Physician
  • Lexington, KY
National Provider Identifier
1245288893
Registry record updated May 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
45509 Issued in KY
Practice address
University of Kentucky Vascular Surgery
800 Rose Street, C213
Lexington, KY 40536-0293
Phone
(859) 323-6346
Fax
(859) 323-6840
NPI assigned
May 5, 2006
Last updated
May 16, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 16, 2014

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X 48319 WI
Surgery Physician 208600000X 48319 WI
Surgery Physician 208600000X 45509 KY Primary
Vascular Surgery Physician 2086S0129X TP575 KY

Addresses

Primary practice location

University of Kentucky Vascular Surgery
800 Rose Street, C213
Lexington, KY 40536-0293

Mailing address

University of Kentucky Vascular Surgery
800 Rose Street, C213
Lexington, KY 40536-0293
Phone (859) 323-6346

Other identifiers 1

IdentifierTypeStateIssuer
7100206840MedicaidKY

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
I20120830000696 KY Practitioner - Vascular Surgery 9638326374 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Vascular Surgery
Education
University of Wisconsin School of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kentucky Medical Services Foundation, IncGroup PAC ID 5698689909, 949 clinicians

Practice addresses (Care Compare)

2400 Greatstone PT
Lexington, KY 40504-3274
Phone (859) 257-9800

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.77 of 100Reported as group
Quality
68.25
Promoting interoperability
100
Improvement activities
40
Cost
72.39

Procedures performed for Medicare patients

ProcedureNumber of procedures
Leg revascularization (restoring blood flow)1-10
Removal of tissue79

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
45509KYMDSurgery Physician
48319WIMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Kentucky Medical Services Foundation, Inc Surgery CurrentSince Jul 22, 2012 Accepting new patients
St Claire Medical Center, Inc CurrentSince Jan 25, 2018 Accepting new patients
St Claire Medical Center, Inc Surgery CurrentSince Jan 25, 2018 Accepting new patients
St Claire Medical Center, Inc., Current Accepting new patients
University of Kentucky Past Accepting new patients
University of Kentucky Past Accepting new patients

Locations

2400 Greatstone Pt
Lexington, KY 40504
Phone (859) 257-9800

800 Rose St
#C213
Lexington, KY 40536
Phone (859) 323-6346

222 Medical Cir
Morehead, KY 40351
Phone (606) 783-6455

555 W Sun St
Morehead, KY 40351
Phone (606) 207-2931

Interoperability endpoints

  • Direct secure messaging: jbobadilla15011@ukhcdirect.org

Organizations & group practices 6

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.

Hospital & facility affiliations 1

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": "1146787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1400198400000",
    "number": "1245288893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "UNIVERSITY OF KENTUCKY VASCULAR SURGERY",
            "address_2": "800 ROSE STREET, C213",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405360293",
            "telephone_number": "859-323-6346",
            "fax_number": "859-323-6840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "UNIVERSITY OF KENTUCKY VASCULAR SURGERY",
            "address_2": "800 ROSE STREET, C213",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405360293",
            "telephone_number": "859-323-6346",
            "fax_number": "859-323-6840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOBADILLA",
        "first_name": "JOSEPH",
        "middle_name": "L.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-05",
        "last_updated": "2014-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "WI",
            "license": "48319",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "WI",
            "license": "48319",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "KY",
            "license": "45509",
            "primary": true
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "KY",
            "license": "TP575",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100206840",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

Verify at the official NPI Registry.