Carmen Pinto, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

29618 Issued in KY

Practice address

1311 N Dixie Hwy
Elizabethtown, KY 42701-2621

Phone

(270) 769-1304

Fax

(270) 234-8028

NPI assigned

Jun 9, 2006

Last updated

Jul 9, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Communicare Inc

  • Community/Behavioral Health Agency
  • Brandenburg, KY
  • NPI 1295872638
  Medicare reassignment NPD
• Communicare Inc

  • Community/Behavioral Health Agency
  • Hodgenville, KY
  • NPI 1821419789
  NPD
• Communicare Inc

  • Community/Behavioral Health Agency
  • Radcliff, KY
  • NPI 1841337607
  NPD
• Communicare Inc

  • Community/Behavioral Health Agency
  • Springfield, KY
  • NPI 1083751424
  NPD (past)
• Communicare Inc

  • Community/Behavioral Health Agency
  • Bardstown, KY
  • NPI 1679610117
  NPD (past)
• Communicare Inc

  • Community/Behavioral Health Agency
  • Elizabethtown, KY
  • NPI 1891832234
  NPD (past)

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

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1306887500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 CRANES ROOST CT",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427013650",
            "telephone_number": "270-765-2605",
            "fax_number": "270-766-1222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1311 N DIXIE HWY",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427012621",
            "telephone_number": "270-769-1304",
            "fax_number": "270-234-8028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PINTO",
        "first_name": "CARMEN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-09",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "KY",
            "license": "29618",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30605018",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "235783",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000044419",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Samuel Phillip Pike, MD
• Pinkezen LLC
• Pinnacle Treatment Centers Ky-1, LLC (Recovery Works Elizabethtown)
• Pinnacle Treatment Centers Ky-I, LLC (Recovery Works Elizabethtown)
• Pinnacle Treatment Centers Ky-I, LLC (Recovery Works Elizabethtown)
• Austin Ryan Pittman
• Lillian Pittman, BA
• Sara Nichole Pittman
• Kimberly Ann Polgar
• Sandra Kay Polk, BS

• Psychiatry Physician in Elizabethtown, KY
• Providers in Elizabethtown, KY by specialty
• Psychiatry Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.