Individual provider Active NPI

Thomas P Von Unrug, MD

  • Internal Medicine Physician
  • Lexington, KY
National Provider Identifier
1295779957
Registry record updated Jul 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
31364 Issued in KY
Practice address
1401 Harrodsburg Road B 299
Lexington, KY 40504
Phone
(859) 276-0714
Fax
(859) 276-0363
NPI assigned
Jun 15, 2006
Last updated
Jul 10, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 31364 KY Primary

Addresses

Primary practice location

1401 Harrodsburg Road B 299
Lexington, KY 40504

Mailing address

1401 Harrodsburg Road B 299
Lexington, KY 40504
Phone (859) 276-0714

Other identifiers 1

IdentifierTypeStateIssuer
64313646MedicaidKY

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
I20040630000409 KY Practitioner - Internal Medicine 3870576515 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Kentucky College of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1401 Harrodsburg Rd
Suite B299
Lexington, KY 40504-3747
Phone (859) 276-0714

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of nail tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
31364KYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Thomas P. Von Unrug MD Inc CurrentSince Jul 1, 2000 Accepting new patients
Lexington Primary Care LLC Internal Medicine PastSince Jan 5, 2004 Accepting new patients
Kentucky Inpatient Medicine Associates, PLLC Internal Medicine Past Accepting new patients
Saint Joseph Health System, Inc Past Accepting new patients
Madison Primary Care, LLC Internal Medicine Past Accepting new patients
Horizon Healthcare Center LLC Internal Medicine PastSince Mar 17, 2019 Accepting new patients

Locations

1 Saint Joseph Dr
Lexington, KY 40504
Phone (502) 350-5000

1376 Silver Springs Dr
Lexington, KY 40511
Phone (859) 277-0320

1401 Harrodsburg Rd
Ste B299
Lexington, KY 40504
Phone (859) 272-0608

150 N Eagle Creek Dr
Lexington, KY 40509
Phone (859) 267-9773

Interoperability endpoints

  • Direct secure messaging: thomasvonunrug@dtpu.allscriptsdirect.net

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 8

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": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436486400000",
    "number": "1295779957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 HARRODSBURG ROAD B 299",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "40504",
            "telephone_number": "859-276-0714",
            "fax_number": "859-276-0363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 HARRODSBURG ROAD B 299",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "40504",
            "telephone_number": "859-276-0714",
            "fax_number": "859-276-0363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VON UNRUG",
        "first_name": "THOMAS",
        "middle_name": "P",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-15",
        "last_updated": "2015-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KY",
            "license": "31364",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64313646",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

Verify at the official NPI Registry.