Organization Active NPI

Chinmay Medical, PSC

  • Nephrology Physician
  • Georgetown, KY
National Provider Identifier
1285879411
Registry record updated Apr 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
37238 Issued in KY
Legal business name
CHINMAY MEDICAL, PSC
Practice address
1140 Lexington Rd
Suite 101
Georgetown, KY 40324-9330
Phone
(502) 863-5321
Fax
(502) 863-5706
NPI assigned
Dec 2, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2009

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

Authorized official

Name
Vishwanath Halukurike, MD
Title
Owner
Phone
(502) 863-5321

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RN0300X 37238 KY Primary

Addresses

Primary practice location

1140 Lexington Rd
Suite 101
Georgetown, KY 40324-9330

Mailing address

1140 Lexington Rd
Suite 101
Georgetown, KY 40324-9330
Phone (502) 863-5321

Other identifiers 1

IdentifierTypeStateIssuer
7100062100MedicaidKY

National Provider Directory

National Provider Directory

Locations

1140 Lexington Rd
#101
Georgetown, KY 40324
Phone (502) 863-5321

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1228176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240185600000",
    "number": "1285879411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1140 LEXINGTON RD",
            "address_2": "SUITE 101",
            "city": "GEORGETOWN",
            "state": "KY",
            "postal_code": "403249330",
            "telephone_number": "502-863-5321",
            "fax_number": "502-863-5706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1140 LEXINGTON RD",
            "address_2": "SUITE 101",
            "city": "GEORGETOWN",
            "state": "KY",
            "postal_code": "403249330",
            "telephone_number": "502-863-5321",
            "fax_number": "502-863-5706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHINMAY MEDICAL, PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-02",
        "last_updated": "2009-04-20",
        "status": "A",
        "authorized_official_last_name": "HALUKURIKE",
        "authorized_official_first_name": "VISHWANATH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "502-863-5321",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "KY",
            "license": "37238",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100062100",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Georgetown, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.