Individual provider Active NPI

Michael G Kindred, MD

  • Addiction Medicine (Preventive Medicine) Physician
  • Lexington, KY
National Provider Identifier
1306996079
Registry record updated Jul 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Preventive Medicine) PhysicianTaxonomy code 2083A0300X
License
48369 Issued in KY
Practice address
146 Deweese St
Lexington, KY 40507-1921
Phone
(859) 785-8585
Fax
(859) 785-8585
NPI assigned
Jan 12, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Psychiatry & Neurology) Physician 2084A0401X 48369 KY
Surgery Physician 208600000X 13748 NH
Addiction Medicine (Preventive Medicine) Physician 2083A0300X 48369 KY Primary

Addresses

Primary practice location

146 Deweese St
Lexington, KY 40507-1921

Mailing address

146 Deweese St
Lexington, KY 40507-1921
Phone (859) 785-8585

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
I20160819001626 KY Practitioner - PsychiatryPractitioner - General SurgeryPractitioner - Addiction Medicine 2769546092 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
PsychiatryAlso: Addiction Medicine
Education
University of Colorado School of Medicine, Denver, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

146 Deweese St
Lexington, KY 40507-1921
Phone (859) 785-8585

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Kentucky Medical Services Foundation, Inc Surgery CurrentSince Jul 1, 2016 Accepting new patients

Locations

245 Fountain Ct
Ste 225
Lexington, KY 40509
Phone (859) 323-6021

2400 Greatstone Pt
Lexington, KY 40504
Phone (859) 257-9800

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1168560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562630400000",
    "number": "1306996079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "146 DEWEESE ST",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405071921",
            "telephone_number": "859-785-8585",
            "fax_number": "859-785-8585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "146 DEWEESE ST",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405071921",
            "telephone_number": "859-785-8585",
            "fax_number": "859-785-8585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KINDRED",
        "first_name": "MICHAEL",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-12",
        "last_updated": "2019-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084A0401X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Medicine",
            "state": "KY",
            "license": "48369",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NH",
            "license": "13748",
            "primary": false
        },
        {
            "code": "2083A0300X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Addiction Medicine",
            "state": "KY",
            "license": "48369",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

Verify at the official NPI Registry.