Individual provider Active NPI

Michael Anthony Harkabus, MD

  • Surgery Physician
  • Frankfort, KY
National Provider Identifier
1255304192
Registry record updated Jan 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
40042 Issued in CO
Practice address
Capital Surgical Clinic
One Physicians Park
Frankfort, KY 40601-4107
Phone
(502) 223-7629
NPI assigned
Feb 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 40042 CO Primary

Addresses

Primary practice location

Capital Surgical Clinic
One Physicians Park
Frankfort, KY 40601-4107

Mailing address

110 Sagamore St
Frankfort, KY 40601
Phone (502) 352-1837

Other identifiers 1

IdentifierTypeStateIssuer
02554348MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20100114000478 CO Practitioner - General Surgery 8426064890

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
40042COMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Banner Greeley Specialists Past Accepting new patients

Organizations & group practices 1

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": "1139529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1264636800000",
    "number": "1255304192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 SAGAMORE ST",
            "city": "FRANKFORT",
            "state": "KY",
            "postal_code": "40601",
            "telephone_number": "502-352-1837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CAPITAL SURGICAL CLINIC",
            "address_2": "ONE PHYSICIANS PARK",
            "city": "FRANKFORT",
            "state": "KY",
            "postal_code": "406014107",
            "telephone_number": "502-223-7629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARKABUS",
        "first_name": "MICHAEL",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-10",
        "last_updated": "2010-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CO",
            "license": "40042",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02554348",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Frankfort, KY

Sources for this page

Verify at the official NPI Registry.