Individual provider Active NPI

Elisha Lancaster, MD

  • Nephrology Physician
  • Edgewood, KY
National Provider Identifier
1316136567
Registry record updated Jul 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
35.095429 Issued in OH
Practice address
830 Thomas More Parkway
Ste 202
Edgewood, KY 41017
Phone
(513) 487-5303
Fax
(513) 487-5317
NPI assigned
Oct 23, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 35.095429 OH Primary
Nephrology Physician 207RN0300X 45036 KY

Addresses

Primary practice location

830 Thomas More Parkway
Ste 202
Edgewood, KY 41017

Mailing address

4600 Montgomery Road
Ste 105
Cincinnati, OH 45212
Phone (513) 487-5305

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, KY, IN3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20120614000261 OH Practitioner - Nephrology 9638333073 Reassigns benefits to 3 organizations
I20120710000632 KY Practitioner - Nephrology 9638333073 Reassigns benefits to 1 organization
I20130830000805 IN Practitioner - Nephrology 9638333073 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
University of Louisville School of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Kidney and Hypertension Center IncGroup PAC ID 9830099985, 47 clinicians

Practice addresses (Care Compare)

2123 Auburn Ave
Suite 404
Cincinnati, OH 45219-2906
Phone (513) 241-5630

721 Rudolph Way
Lawrenceburg Dialysis
Greendale, IN 47025-8378
Phone (812) 537-4240

830 Thomas More Pkwy
Suite 202
Edgewood, KY 41017-5103
Phone (859) 341-6281

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Kidney and Hypertension Center Inc Nephrology CurrentSince Jul 1, 2012 Accepting new patients
Dialysis Access Center of Cincinnati, Inc. CurrentSince Mar 29, 2018 Accepting new patients
Dialysis Access Center of Cincinnati, Inc. CurrentSince Mar 29, 2018 Accepting new patients
Targhee Dialysis, LLC PastSince Jan 1, 2020 Accepting new patients

Locations

721 Rudolph Way
Greendale, IN 47025
Phone (812) 537-4240

1500 James Simpson Jr Way
Ste 301
Covington, KY 41011
Phone (859) 341-6281

830 Thomas More Pkwy
Ste 202
Ft Mitchell, KY 41017
Phone (606) 341-6281

2055 Hospital Dr
Batavia, OH 45103
Phone (513) 732-0700

2055 Hospital Dr
Ste 335
Batavia, OH 45103
Phone (513) 688-1500

4805 Montgomery Rd
Ste 156
Cincinnati, OH 45212
Phone (513) 861-0800

4600 Montgomery Rd
Ste 105
Cincinnati, OH 45212
Phone (513) 487-5305

4435 Aicholtz Rd
Ofc 800C
Cincinnati, OH 45245
Phone (513) 688-1500

2123 Auburn Ave
Ste 404
Cincinnati, OH 45219
Phone (513) 241-5630

3219 Clifton Ave
Ste 325
Cincinnati, OH 45220
Phone (513) 861-0800

7335 Yankee Rd
Ste 101
Liberty Township, OH 45044
Phone (513) 755-2524

4805 Montgomery Rd
Ste 140
Norwood, OH 45212
Phone (513) 487-5305

Interoperability endpoints

  • Direct secure messaging: elishalancaster@tkhc.allscriptsdirect.net
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: elisha.lancaster.p127@direct.lifelinevascular.nextgenshare.com
  • Direct secure messaging: elancaster130677@direct-prd.stelizabeth.com
  • Direct secure messaging: elisha.lancaster.p2@direct.lifelinevascular.nextgenshare.com

Organizations & group practices 4

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 10

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": "1193097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1342396800000",
    "number": "1316136567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4600 MONTGOMERY ROAD",
            "address_2": "STE 105",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "45212",
            "telephone_number": "513-487-5305",
            "fax_number": "513-487-5317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 THOMAS MORE PARKWAY",
            "address_2": "STE 202",
            "city": "EDGEWOOD",
            "state": "KY",
            "postal_code": "41017",
            "telephone_number": "513-487-5303",
            "fax_number": "513-487-5317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANCASTER",
        "first_name": "ELISHA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-10-23",
        "last_updated": "2012-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "OH",
            "license": "35.095429",
            "primary": true
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "KY",
            "license": "45036",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edgewood, KY

Sources for this page

Verify at the official NPI Registry.