Individual provider Active NPI

Benjamin Michael Taylor, MD

  • Family Medicine Physician
  • Berea, KY
National Provider Identifier
1356929152
Registry record updated Aug 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
59212 Issued in KY
Practice address
852 Ridgewood Dr Ste a
Berea, KY 40403-9814
Phone
(859) 985-2656
Fax
(859) 985-2680
NPI assigned
Apr 1, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 59212 KY Primary

Addresses

Primary practice location

852 Ridgewood Dr Ste a
Berea, KY 40403-9814

Mailing address

852 Ridgewood Dr Ste a
Berea, KY 40403-9814
Phone (859) 985-2656

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
I20240822004414 KY Practitioner - Family Practice 8628451127 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Kentucky College of Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
H2 Rehabilitation Services of Kentucky, LLC 187 clinicians
Baptist Health Medical Group Inc 2,431 clinicians

Practice addresses (Care Compare)

193 Glades Rd
Berea, KY 40403-2261
Phone (859) 956-1055

852 Ridgewood Dr
Suite a
Berea, KY 40403-9814
Phone (859) 985-2656

Hospital & facility affiliations

  • Baptist Health Richmond Hospital, Richmond, KY, CCN 180049
  • Baptist Health Lexington Hospital, Lexington, KY, CCN 180103

Merit-based Incentive Payment System (MIPS)

Final score
94.29 of 100Reported as apm
Quality
87.32
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Health Medical Group Inc Family Medicine CurrentSince Aug 1, 2024 Accepting new patients
Baptist Health Medical Group Inc CurrentSince Aug 1, 2024 Accepting new patients

Locations

852 Ridgewood Dr
#A
Berea, KY 40403
Phone (859) 985-2656

96 Future Dr
Corbin, KY 40701

1901 Campus Pl
Louisville, KY 40299
Phone (502) 253-4911

Organizations & group practices 9

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.

Hospital & facility affiliations 2

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": "1617235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723766400000",
    "number": "1356929152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "852 RIDGEWOOD DR STE A",
            "city": "BEREA",
            "state": "KY",
            "postal_code": "404039814",
            "telephone_number": "859-985-2656",
            "fax_number": "859-985-2680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "852 RIDGEWOOD DR STE A",
            "city": "BEREA",
            "state": "KY",
            "postal_code": "404039814",
            "telephone_number": "859-985-2656",
            "fax_number": "859-985-2680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "BENJAMIN",
        "middle_name": "MICHAEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-04-01",
        "last_updated": "2024-08-16",
        "certification_date": "2024-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "59212",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Berea, KY

Sources for this page

Verify at the official NPI Registry.