Steven Kent Ganzel, D.O.
Individual provider Active NPI Pain Medicine (Physical Medicine & Rehabilitation) Physician · Lexington, KY
NPI 1265615546 · NPPES record last updated Jul 29, 2021
Key facts
- NPI
- 1265615546
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X
- License
- 03100 (KY)
- Practice address
- 2416 Regency Road
Lexington, KY 40503-2954 - Phone
- (859) 278-1316
- Fax
- (859) 276-3847
- NPI assigned
- Dec 10, 2007
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 12
Medicare Care Compare profile
- Specialty
- Pain Management
- Education
- Michigan State University College of Osteopathic Medicine, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Aptiva Health
Practice addresses (Care Compare)
3615 Newburg Rd
Louisville, KY 40218-3368
Phone (502) 909-0772
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150116001672 | KY | Practitioner - Pain Management |
8729150453 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036-106836 | IL | MD | Physical Medicine & Rehabilitation Physician |
| 44711-021 | WI | MD | Physical Medicine & Rehabilitation Physician |
| 060836 | GA | MD | Pain Medicine (Physical Medicine & Rehabilitation) Physician |
| 03100 | KY | MD | Pain Medicine (Physical Medicine & Rehabilitation) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aptiva Health | Current |
Accepting new patients | |
| Aptiva Health | Current |
Accepting new patients | |
| Aptiva Health | Past | Accepting new patients | |
| Integrated Medical Solutions, LLC | Past | Accepting new patients | |
| Deaconess Hospital, Inc | Past | Accepting new patients | |
| Georgia Pain Physicians PC | Pain Medicine | Past | Accepting new patients |
| Aptiva Health Sports Medicine LLC | Past |
Accepting new patients | |
| Aptiva Health | Past |
Accepting new patients |
Locations
529 Westport Rd
Ste 2
Elizabethtown, KY 42701
2093 Medical Arts Dr
Ste 1
Hebron, KY 41048
2093 Medical Arts Dr
Hebron, KY 41048
Phone (859) 442-6600
230 Fountain Ct
Ste 180A
Lexington, KY 40509
230 Fountain Ct
Ste 180
Lexington, KY 40509
Phone (859) 276-5008
10100 Linn Station Rd
Ste 1A
Louisville, KY 40223
Phone 5029090772 ext. 85585
3615 Newburg Rd
Ste 101
Louisville, KY 40218
300 S 13th St
Louisville, KY 40203
Phone (502) 583-1011
401 N English Station Rd
Louisville, KY 40223
3615 Newburg Rd
Ste 106
Louisville, KY 40218
Phone (502) 780-5527
3611 Newburg Rd
Louisville, KY 40218
3615 Newburg Rd
Louisville, KY 40218
Phone (502) 583-1011
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | 44711-021 | WI | |
| Pain Medicine (Physical Medicine & Rehabilitation) Physician | 2081P2900X | 060836 | GA | |
| Pain Medicine (Physical Medicine & Rehabilitation) Physician | 2081P2900X | 03100 | KY | Yes |
| Physical Medicine & Rehabilitation Physician | 208100000X | 036-106836 | IL |
Addresses
Primary practice location
2416 Regency Road
Lexington, KY 40503-2954
Mailing address
280 Pasadena Dr
Lexington, KY 40503-2925
Phone (859) 278-1316
Other practice location 1
3615 Newburg Rd
Louisville, KY 40218-3368
Phone (502) 909-0772
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100308400 | Medicaid | KY |
Other providers in Lexington, KY
- Halemane Suryanarayana Ganesh
- Suhas Gangadhara
- Noah Ryan Gann
- Lara Karina Gannon
- Stanislava Gantcheva
- Carol Yuan Gao
- Yuan Zheng Gao
- Wendy Garabedian
- Ryan Melissa Garbarino
- Catherine Randy Garcia Stangherlin
All providers in Lexington, KY · Pain Medicine (Physical Medicine & Rehabilitation) Physician in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 29, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.