Individual provider Active NPI

Michael N. Pugh, D.C.

  • Chiropractor
  • Lexington, KY
National Provider Identifier
1255365706
Registry record updated Sep 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4578 Issued in KY
Practice address
148 W Tiverton Way
Suite 140
Lexington, KY 40503-4468
Phone
(859) 272-5460
Fax
(859) 272-5463
NPI assigned
Jul 10, 2006
Last updated
Sep 12, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4578 KY Primary

Addresses

Primary practice location

148 W Tiverton Way
Suite 140
Lexington, KY 40503-4468

Mailing address

148 W Tiverton Way
Suite 140
Lexington, KY 40503-4468
Phone (859) 272-5460

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040205000466 KY Practitioner - Chiropractic 6103719901 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2000
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

148 W Tiverton Way
Suite 140a
Lexington, KY 40503-4501
Phone (859) 272-5460

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Steve Marcum PT, LLC PastSince May 4, 2017 Accepting new patients
Elswick Chiropractic & Associates Chiropractor PastSince Jan 1, 2001 Accepting new patients
Patient First Chiropractic Chiropractor PastSince Dec 1, 2003 Accepting new patients

Organizations & group practices 4

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": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410480000000",
    "number": "1255365706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "148 W TIVERTON WAY",
            "address_2": "SUITE 140",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405034468",
            "telephone_number": "859-272-5460",
            "fax_number": "859-272-5463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "148 W TIVERTON WAY",
            "address_2": "SUITE 140",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405034468",
            "telephone_number": "859-272-5460",
            "fax_number": "859-272-5463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUGH",
        "first_name": "MICHAEL",
        "middle_name": "N.",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-10",
        "last_updated": "2014-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KY",
            "license": "4578",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.