NPIMap

Organization Active NPI

Owensboro Health Medical Group Inc

Doing business as Owensboro Health Medical Group Premier Primary Care

  • Internal Medicine Physician
  • Owensboro, KY
National Provider Identifier
1306700711
Registry record updated Dec 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
OWENSBORO HEALTH MEDICAL GROUP INC
Doing business as
Owensboro Health Medical Group Premier Primary Care
Practice address
1030 Burlew Blvd Ste a
Owensboro, KY 42303-2057
Phone
(270) 926-2273
NPI assigned
Dec 10, 2025
Last updated
Dec 10, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2025

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

Authorized official

Name
Russ Ranallo
Title
Secretary-Cfo
Phone
(270) 685-7180

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X NU
Internal Medicine Physician 207R00000X NU Primary

Addresses

Primary practice location

1030 Burlew Blvd Ste a
Owensboro, KY 42303-2057

Mailing address

PO Box 23229
Owensboro, KY 42304-3229
Phone (270) 691-8070

Other names 1

  • Owensboro Health Medical Group Premier Primary Care Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040621000818 KY Part B Supplier - Clinic/Group Practice 0648255034 Receives reassigned benefits from 677 practitioners
This NPI is an additional NPI on the enrollment

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
18D0670284Owensboro Health Medical Group1030A Burlew Boulevard, Owensboro, KY 42303ComplianceNov 25, 2027

National Provider Directory

National Provider Directory
Tax ID family
Mohammed Kaleemuddin MD74 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Locations (25 of 30)

1211 N Main St
Beaver Dam, KY 42320
Phone (270) 274-0888

1871 US Highway 41A S
Dixon, KY 42409
Phone (270) 543-6372

211 S Cherry St
Ste 2
Greenville, KY 42345
Phone (270) 377-1950

440 Hopkinsville St
#One
Greenville, KY 42345
Phone (270) 417-7500

601 Greene Dr
#One
Greenville, KY 42345
Phone (270) 338-0600

114 E McMurtry Ave
Hartford, KY 42347
Phone (270) 298-7437

1895 Elizabethtown Rd
Leitchfield, KY 42754
Phone (270) 230-0182

910 Wallace Ave
Ste 206
Leitchfield, KY 42754
Phone (270) 259-3035

44 McCoy Ave
Ste 133
Madisonville, KY 42431
Phone (270) 326-5422

444 S Main St
Ste A
Madisonville, KY 42431
Phone (270) 417-7800

1000 Breckenridge St
Ste 200
Owensboro, KY 42303
Phone (270) 691-8040

1000 Breckenridge St
Ste 205
Owensboro, KY 42303
Phone (270) 688-3550

1000 Breckenridge St
Ste 302
Owensboro, KY 42303
Phone (270) 684-5679

1000 Breckenridge St
Ste 401
Owensboro, KY 42303
Phone (270) 685-1066

1000 Breckenridge St
Ste 404
Owensboro, KY 42303
Phone (270) 691-8050

1201 Pleasant Valley Rd
Fl 3
Owensboro, KY 42303
Phone (270) 417-5390

1301 Pleasant Valley Rd
Ste 302
Owensboro, KY 42303
Phone (270) 417-7880

1301 Pleasant Valley Rd
Ste 405
Owensboro, KY 42303
Phone (270) 417-7850

1301 Pleasant Valley Rd
Ste 500A
Owensboro, KY 42303
Phone (270) 417-7900

1301 Pleasant Valley Rd
Ste 502
Owensboro, KY 42303
Phone (270) 417-7980

2200 E Parrish Ave
Ste 201
Owensboro, KY 42303
Phone (270) 688-1670

2401 New Hartford Rd
Owensboro, KY 42303
Phone (270) 688-5147

2816 Veach Rd
Ste 403
Owensboro, KY 42303
Phone (270) 684-1145

3120 Warehouse Rd
Owensboro, KY 42301
Phone (270) 688-9168

3151 State Route 54
Owensboro, KY 42303
Phone (270) 683-4099

Practitioners & affiliated clinicians

Practitioners 671

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 671

NPI Registry JSON

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

{
    "created_epoch": "1765324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765324800000",
    "number": "1306700711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 23229",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423043229",
            "telephone_number": "270-691-8070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1030 BURLEW BLVD STE A",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423032057",
            "telephone_number": "270-926-2273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OWENSBORO HEALTH MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-10",
        "last_updated": "2025-12-10",
        "certification_date": "2025-12-10",
        "status": "A",
        "authorized_official_last_name": "RANALLO",
        "authorized_official_first_name": "RUSS",
        "authorized_official_title_or_position": "SECRETARY-CFO",
        "authorized_official_telephone_number": "270-685-7180"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Owensboro Health Medical Group Premier Primary Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Owensboro, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.