Active NPI
Gentry C Larue Jr., M.D.
- Psychiatry Physician
- Lexington, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 25320
- Practice address
- 496 Southland Dr
Lexington, KY 40503-1827 - Phone
- (859) 288-2425
- Fax
- (859) 721-2572
- NPI assigned
- Jun 26, 2006
- Last updated
- Jan 18, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Forensic Psychiatry Physician | 2084F0202X | 385 | KY | |
| Psychiatry Physician | 2084P0800X | 25320 | KY | Primary |
Addresses
Primary practice location
496 Southland Dr
Lexington, KY 40503-1827
Mailing address
496 Southland Dr
Lexington, KY 40503-1827
Phone (859) 288-2392
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100164390 | Medicaid | KY |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- University of Kentucky College of Medicine, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
496 Southland Dr
Lexington, KY 40503-1827
Phone (859) 288-2425
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 385 | KY | MD | Forensic Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthfirst Bluegrass Inc | Current | Accepting new patients | |
| Healthfirst Bluegrass Inc. | Current | Accepting new patients | |
| Healthfirst Bluegrass Inc | Past | Accepting new patients |
Locations
1060 Goodwin Dr
#110
Lexington, KY 40505
1640 Bryan Station Rd
#1
Lexington, KY 40505
1640 Bryan Station Rd
Ste 1
Lexington, KY 40505
360 W Loudon Ave
Lexington, KY 40508
Phone (859) 252-7881
496 Southland Dr
Lexington, KY 40503
Phone (859) 288-2392
576 E Third St
Ste 170
Lexington, KY 40508
Phone (859) 402-8945
Organizations & group practices 3
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.
-
- Federally Qualified Health Center (FQHC)
- Lexington, KY
- NPI 1114932514
-
- Federally Qualified Health Center (FQHC)
- Lexington, KY
- NPI 1447997044
-
- Pharmacy
- Lexington, KY
- NPI 1366832289
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151280000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1610928000000",
"number": "1316974314",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "496 SOUTHLAND DR",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405031827",
"telephone_number": "859-288-2392",
"fax_number": "859-721-3918"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "496 SOUTHLAND DR",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405031827",
"telephone_number": "859-288-2425",
"fax_number": "859-721-2572"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LARUE",
"first_name": "GENTRY",
"middle_name": "C",
"name_suffix": "Jr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-26",
"last_updated": "2021-01-18",
"certification_date": "2021-01-18",
"status": "A"
},
"taxonomies": [
{
"code": "2084F0202X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Forensic Psychiatry",
"state": "KY",
"license": "385",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "KY",
"license": "25320",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100164390",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lexington, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2021; 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.
- 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.