Individual provider Active NPI

Jeremy Patrick Stich, MD

  • Emergency Medicine Physician
  • Lexington, KY
National Provider Identifier
1295027126
Registry record updated Apr 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
TP715 Issued in KY
Practice address
535 Wellington Way Ste 330
Lexington, KY 40503-1331
Phone
(859) 439-0400
NPI assigned
May 11, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 14, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 44491 KY
Emergency Medicine Physician 207P00000X TP715 KY Primary

Addresses

Primary practice location

535 Wellington Way Ste 330
Lexington, KY 40503-1331

Mailing address

3028 Shady Knoll RST
Lexington, KY 40511-8952
Phone (859) 333-3065

Other practice location 1

3205 Summit Square Pl
Lexington, KY 40509-2650
Phone (859) 335-9041

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, DE, WA, OH, TN, MI, GA, MN8 enrollments
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 8

Enrollment IDStateProvider typePAC IDDetails
I20110524000746 KY Practitioner - Emergency Medicine 7416133616 Reassigns benefits to 2 organizations
I20230131001328 DE Practitioner - Family Practice 7416133616
I20230201001732 WA Practitioner - Family Practice 7416133616
I20230228000200 OH Practitioner - Family Practice 7416133616
I20230302000569 TN Practitioner - General Practice 7416133616
I20230327000997 MI Practitioner - Family Practice 7416133616
I20230330000237 GA Practitioner - Family Practice 7416133616
I20230516002308 MN Practitioner - Family Practice 7416133616

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of Kentucky College of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emergency Medicine Services of Ky LLCGroup PAC ID 9335505569, 42 clinicians

Practice addresses (Care Compare)

299 Kings Daughters Dr
Frankfort, KY 40601-6514
Phone (502) 875-5240

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Medical Partners, LLC Emergency Medicine CurrentSince Sep 28, 2019 Accepting new patients
Wellington Provider Group PC Current Accepting new patients
Emergency Medicine Services of Ky, LLC Emergency Medicine CurrentSince Apr 1, 2023 Accepting new patients
Ky-I Medical Services, P.S.C. Past Accepting new patients
Wild Health, Inc. PastSince Jun 1, 2021 Accepting new patients

Locations

1801 Ashley Cir
Bowling Green, KY 42104
Phone (270) 781-4330

299 Kings Daughters Dr
Hatton, KY 40601
Phone (502) 875-5240

881 Corporate Dr
Ste 110
Lexington, KY 40503
Phone (859) 439-0400

535 Wellington Way
Ste 330
Lexington, KY 40503
Phone (859) 439-0400

240 Hospital Rd
Whitesburg, KY 41858
Phone (606) 633-3500

2300 W Sahara Ave
Ste 800
Las Vegas, NV 89102
Phone (702) 234-3311

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

Interoperability endpoints

  • Direct secure messaging: jeremy.stich@481558715105284.direct.elationemr.com
  • Direct secure messaging: jeremy.stich@585769833398276.direct.elationemr.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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1305072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649894400000",
    "number": "1295027126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3028 SHADY KNOLL RST",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405118952",
            "telephone_number": "859-333-3065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "535 WELLINGTON WAY STE 330",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405031331",
            "telephone_number": "859-439-0400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3205 Summit Square Pl",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "KY",
            "postal_code": "405092650",
            "country_code": "US",
            "telephone_number": "859-335-9041",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STICH",
        "first_name": "JEREMY",
        "middle_name": "PATRICK",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-05-11",
        "last_updated": "2022-04-14",
        "certification_date": "2022-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "KY",
            "license": "44491",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "KY",
            "license": "TP715",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

Verify at the official NPI Registry.