Active NPI
Andrew Peter Balbaugh, M.D.
- Internal Medicine Physician
- Georgetown, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 41057
- Practice address
- 196 Bevins LN
Suite F
Georgetown, KY 40324-8534 - Phone
- (502) 863-2818
- Fax
- (502) 863-2764
- NPI assigned
- May 20, 2007
- Last updated
- Feb 11, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 41057 | KY | |
| Internal Medicine Physician | 207R00000X | 41057 | KY | Primary |
Addresses
Primary practice location
196 Bevins LN
Suite F
Georgetown, KY 40324-8534
Mailing address
330 Seven Springs Way
Brentwood, TN 37027-5098
Phone (615) 920-7906
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Northeastern Ohio University College of Medicine, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1138 Lexington Rd
Suite 130
Georgetown, KY 40324-9673
Phone (502) 570-2324
175 Hospital Dr
Suite 120
Georgetown, KY 40324
Phone (502) 570-2324
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 41057 | KY | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kentucky Mso LLC | Internal Medicine | Current | Accepting new patients |
| Kentucky Mso LLC | Current | Accepting new patients | |
| Kentucky Mso LLC | Current | Accepting new patients | |
| Georgetown Community Hospital LLC | Past | Accepting new patients | |
| Links Orthopedics, LLC | Past | Accepting new patients |
Locations
1140 Lexington Rd
Georgetown, KY 40324
Phone (502) 868-1100
1140 Lexington Rd
Ste 105
Georgetown, KY 40324
Phone (502) 868-5660
196 Bevins Ln
Ste F
Georgetown, KY 40324
Phone (502) 863-2818
330 Seven Springs Way
Brentwood, TN 37027
Phone (615) 920-7780
Interoperability endpoints
- andrew.balbaugh.1@19475.direct.athenahealth.com
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.
-
dba Gastroenterology and Hepatology of the Bluegrass
- Gastroenterology Physician
- Georgetown, KY
- NPI 1164867883
Internal Medicine
-
- Pediatrics Physician
- Georgetown, KY
- NPI 1427229707
-
dba Georgetown Family Practice
- Family Medicine Physician
- Georgetown, KY
- NPI 1710252622
-
dba Centerpoint Family Medicine - Lawrenceburg
- Rural Health Clinic/Center
- Lawrenceburg, KY
- NPI 1922860758
-
dba Gerogetown Community Hospital
- Rural Acute Care Hospital
- Georgetown, KY
- NPI 1326107319
-
- Orthopaedic Surgery Physician
- Versailles, KY
- NPI 1902816119
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Gerogetown Community Hospital
- Rural Acute Care Hospital
- Georgetown, KY
- NPI 1326107319
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179619200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1486771200000",
"number": "1265640411",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "330 SEVEN SPRINGS WAY",
"city": "BRENTWOOD",
"state": "TN",
"postal_code": "370275098",
"telephone_number": "615-920-7906",
"fax_number": "615-920-8775"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "196 BEVINS LN",
"address_2": "SUITE F",
"city": "GEORGETOWN",
"state": "KY",
"postal_code": "403248534",
"telephone_number": "502-863-2818",
"fax_number": "502-863-2764"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BALBAUGH",
"first_name": "ANDREW",
"middle_name": "PETER",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-20",
"last_updated": "2017-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "KY",
"license": "41057",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "KY",
"license": "41057",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Georgetown, KY
- Daniel Ryan Baker
- John Max Baker, DC
- Kimberly Dione Baker, M.ED., CCC-SLP
- Rebecca Lynn Baker, D.M.D.
- Julia Jane Balash, PT, DPT
- Jordan Taylor Balkin, OTD, OTR/L, CTRI
- Baptist Health Medical Group Inc
- Baptist Health Medical Group Inc
- Baptist Health Medical Group Inc
- Baptist Healthcare System Inc (Baptist Health Lexington)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.