Individual provider Active NPI

Matthew John Neltner, M.D.

  • Psychiatry Physician
  • Lexington, KY
National Provider Identifier
1275796864
Registry record updated Jul 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
42494 Issued in KY
Practice address
830 S Limestone
University Health Service
Lexington, KY 40536-0582
Phone
(859) 323-5511
Fax
(859) 257-9816
NPI assigned
Jul 3, 2008
Last updated
Jul 2, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 2, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 42494 KY Primary

Addresses

Primary practice location

830 S Limestone
University Health Service
Lexington, KY 40536-0582

Mailing address

830 S Limestone
University Health Service
Lexington, KY 40536-0582
Phone (859) 323-5511

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
I20100525001089 KY Practitioner - Psychiatry 1557490885 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
University of Kentucky College of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University of KentuckyGroup PAC ID 3072425289, 778 clinicians

Practice addresses (Care Compare)

830 S Limestone
Lexington, KY 40536
Phone (859) 323-0303

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
42494KYMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kentucky Medical Services Foundation, Inc Psychiatry CurrentSince Apr 4, 2010 Accepting new patients
University of Kentucky Psychiatry CurrentSince Jun 25, 2020 Accepting new patients

Locations

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

310 S Limestone
Lexington, KY 40508
Phone (606) 252-6612

800 Rose St
Lexington, KY 40536
Phone (859) 257-8562

830 S Limestone
Lexington, KY 40536
Phone (859) 257-6451

830S Limestone
Lexington, KY 40536
Phone (859) 323-8072

Interoperability endpoints

  • Direct secure messaging: mneltner25889@ukhcdirect.org

Organizations & group practices 2

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": "1215043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1341187200000",
    "number": "1275796864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "830 S LIMESTONE",
            "address_2": "UNIVERSITY HEALTH SERVICE",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405360582",
            "telephone_number": "859-323-5511",
            "fax_number": "859-257-9816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 S LIMESTONE",
            "address_2": "UNIVERSITY HEALTH SERVICE",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405360582",
            "telephone_number": "859-323-5511",
            "fax_number": "859-257-9816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELTNER",
        "first_name": "MATTHEW",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-07-03",
        "last_updated": "2012-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "KY",
            "license": "42494",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

Verify at the official NPI Registry.