Individual provider Active NPI

William D Manning, PA

  • Physician Assistant
  • Lexington, KY
National Provider Identifier
1366468605
Registry record updated Sep 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA359 Issued in KY
Practice address
740 S Limestone Ste L304
Lexington, KY 40536-1404
Phone
(859) 323-6494
Fax
(859) 257-2573
NPI assigned
Jul 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA359 KY
Surgical Physician Assistant 363AS0400X PA359 KY
Physician Assistant 363A00000X PA359 KY Primary

Addresses

Primary practice location

740 S Limestone Ste L304
Lexington, KY 40536-1404

Mailing address

1720 Nicholasville Rd
Suite 601
Lexington, KY 40503-1404
Phone (859) 277-5887

Other practice location 1

1720 Nicholasville Rd
Suite 601
Lexington, KY 40503-1404
Phone (859) 277-5887 ext. 7601

Other identifiers 2

IdentifierTypeStateIssuer
9500359600MedicaidKY
970028830OtherKYRAILROAD MEDICARE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address wmanning7817@bhkydirect.com

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100420000248 KY Practitioner - Physician Assistant 3274660436 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University of KentuckyGroup PAC ID 3072425289, 778 clinicians

Practice addresses (Care Compare)

101 Sanders-Brown BLDG
Lexington, KY 40536-0001
Phone (859) 257-1412

740 S Limestone
E214
Lexington, KY 40536-0001
Phone (859) 323-3368

770 Rose St
Mn328
Lexington, KY 40536-0001
Phone (859) 323-8873

800 Rose St
Lexington, KY 40536-0001
Phone (859) 257-8562

Hospital & facility affiliations

  • University of Kentucky Hospital Hospital, Lexington, KY, CCN 180067

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
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA359KYMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
University of Kentucky CurrentSince Oct 28, 2024 Accepting new patients
Baptist Health Medical Group Inc Physician Assistant CurrentSince Jan 1, 2015 Accepting new patients
Scully and Jones, PSC Current Accepting new patients
Baptist Health Medical Group Inc CurrentSince Jan 1, 2015 Accepting new patients
Louisville Heart Surgery, PLLC Past Accepting new patients

Locations

1002 Leawood Dr
Frankfort, KY 40601
Phone (502) 227-7188

4071 Tates Creek Centre Dr
Ste 202
Lexington, KY 40517
Phone (859) 260-4390

1720 Nicholasville Rd
Ste 400
Lexington, KY 40503
Phone 8592775887 ext. 7601

800 Rose St
Lexington, KY 40536
Phone (859) 257-8562

1720 Nicholasville Rd
Ste 502
Lexington, KY 40503
Phone (859) 277-7129

1720 Nicholasville Rd
Ste 601
Lexington, KY 40503
Phone (859) 971-4652

Organizations & group practices 6

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 1

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": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727395200000",
    "number": "1366468605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1720 NICHOLASVILLE RD",
            "address_2": "SUITE 601",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405031404",
            "telephone_number": "859-277-5887",
            "fax_number": "859-276-7638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "740 S LIMESTONE STE L304",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405361404",
            "telephone_number": "859-323-6494",
            "fax_number": "859-257-2573"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1720 Nicholasville Rd",
            "address_2": "Suite 601",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "KY",
            "postal_code": "405031404",
            "country_code": "US",
            "telephone_number": "859-277-5887 x7601",
            "fax_number": "859-276-7638",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANNING",
        "first_name": "WILLIAM",
        "middle_name": "D",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-13",
        "last_updated": "2024-09-27",
        "certification_date": "2024-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "KY",
            "license": "PA359",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "KY",
            "license": "PA359",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KY",
            "license": "PA359",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9500359600",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "970028830",
            "state": "KY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "wmanning7817@bhkydirect.com",
            "affiliation": "N",
            "address_1": "1720 Nicholasville Rd Ste 400",
            "city": "Lexington",
            "state": "KY",
            "country_code": "US",
            "postal_code": "405031475",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

Verify at the official NPI Registry.