Active NPI
Deoborah Photos, DPM
- Podiatrist
- Lexington, KY
National Provider Identifier
1376630780
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 226
- Practice address
- 1101 Veterans Dr
Lexington, KY 40502-2235 - Phone
- (859) 233-4511
- NPI assigned
- Oct 6, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 226 | KY | Primary |
| Foot Surgery Podiatrist | 213ES0131X | 226 | KY |
Addresses
Primary practice location
1101 Veterans Dr
Lexington, KY 40502-2235
Mailing address
1101 Veterans Dr
Lexington, KY 40502-2235
Phone (859) 233-4511
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 80002264 | 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: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150820009814 | KY | Order and Referring Only - Podiatry | 8022176684 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 226 | KY | MD | Foot Surgery Podiatrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160092800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1376630780",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1101 VETERANS DR",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405022235",
"telephone_number": "859-233-4511"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1101 VETERANS DR",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405022235",
"telephone_number": "859-233-4511"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHOTOS",
"first_name": "DEOBORAH",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-06",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "KY",
"license": "226",
"primary": true
},
{
"code": "213ES0131X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot Surgery",
"state": "KY",
"license": "226",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "80002264",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lexington, KY
- Paul Steven Phipps, CRNA - ARNP
- Phoenix Enterprise (Phoenix Diagnostics)
- Phoenix Health Associates PLLC
- Phoenix Recovery LLC
- Lauren Marie Phoenix, CRNA
- Melanie Sarinthone Phounsavath, PA
- Anthea Quynh Phuong
- Physical Therapy Enterprises (Titan Physical Therapy)
- Physician Services PSC
- Physician's Eye Center, PSC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.