Individual provider Active NPI

Kelli Dawn Mathew, D.O.

  • Pulmonary Disease Physician
  • Lexington, KY
National Provider Identifier
1386962223
Registry record updated Jan 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
03587 Issued in KY
Practice address
800 Rose St
Lexington, KY 40536-0001
Phone
(859) 218-0837
Fax
(859) 257-2605
NPI assigned
May 15, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 03587 KY
Pulmonary Disease Physician 207RP1001X 03587 KY Primary

Addresses

Primary practice location

800 Rose St
Lexington, KY 40536-0001

Mailing address

800 Rose St
Lexington, KY 40536-0001

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, IN, IL3 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
I20130730000187 KY Practitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists)Practitioner - Osteopathic Manipulative MedicinePractitioner - Internal Medicine 0941441240 Reassigns benefits to 4 organizations
I20210211001682 IN Practitioner - Pulmonary Disease 0941441240 Reassigns benefits to 2 organizations
I20241001001303 IL Practitioner - Pulmonary Disease 0941441240 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Critical Care (Intensivists)
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St. Claire Medical Center IncGroup PAC ID 4486559085, 181 clinicians
Community Medical Associates IncGroup PAC ID 7012811284, 1,368 clinicians

Practice addresses (Care Compare)

245 Flemingsburg Rd
Morehead, KY 40351-1015
Phone (606) 780-5500

3430 Newburg Rd
Suite 150
Louisville, KY 40218-2497
Phone (502) 459-9127

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.82 of 100Reported as group
Quality
91.59
Promoting interoperability
100
Improvement activities
40
Cost
76.82

Merit-based Incentive Payment System (MIPS)

Final score
87.17 of 100Reported as group
Quality
82.57
Promoting interoperability
100
Improvement activities
40
Cost
71.91

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Methodist Health, Inc. Pulmonary Disease Current Accepting new patients
Deaconess Hospital, Inc Internal Medicine Current Accepting new patients
Deaconess Hospital Inc CurrentSince Sep 19, 2023 Accepting new patients
Deaconess Hospital, Inc Pulmonary Disease CurrentSince Sep 19, 2023 Accepting new patients
Methodist Health, Inc. CurrentSince Jan 2, 2021 Accepting new patients
Community Medical Associates, Inc. Internal Medicine CurrentSince Nov 1, 2025 Accepting new patients
St Claire Medical Center, Inc., Internal Medicine CurrentSince Mar 1, 2025 Accepting new patients
Baptist Health Medical Group Inc Internal Medicine CurrentSince Sep 1, 2020 Accepting new patients
St Claire Medical Center, Inc CurrentSince Mar 1, 2025 Accepting new patients
Baptist Health Medical Group Inc CurrentSince Sep 1, 2020 Accepting new patients
Community Medical Associates, Inc. Internal Medicine CurrentSince Nov 1, 2025 Accepting new patients
Waukegan Clinic Corp Internal Medicine CurrentSince Jul 1, 2024 Accepting new patients
Methodist Health, Inc. Pulmonary Disease CurrentSince Jan 2, 2021 Accepting new patients
Baptist Health Medical Group Inc Current Accepting new patients
Community Medical Associates, Inc. Current Accepting new patients
St Claire Medical Center, Inc., Internal Medicine Current Accepting new patients
Oncology Hematology Associates of Northern Illinois, LTD CurrentSince Jul 1, 2024 Accepting new patients
Sprocket Medical Management LLC Past Accepting new patients
St Claire Medical Center Inc Past Accepting new patients

Locations

200 S Greenleaf St
Ste L
Gurnee, IL 60031
Phone (847) 360-7888

1324 N Sheridan Rd
Waukegan, IL 60085
Phone (847) 360-3000

400 SE 4th St
Evansville, IN 47713
Phone (812) 421-2312

519 Harriet St
Evansville, IN 47710
Phone (812) 423-9699

600 Mary St
Evansville, IN 47710
Phone (812) 450-2239

4600 W Lloyd Expy
Evansville, IN 47712
Phone (812) 450-6311

4015 Gateway Blvd
#2121
Newburgh, IN 47630
Phone (812) 450-7720

913 N Dixie Ave
Elizabethtown, KY 42701
Phone (270) 706-1212

2407 Ring Rd
Ste 108
Elizabethtown, KY 42701
Phone (270) 706-5787

1413 N Elm St
Ste 204
Henderson, KY 42420
Phone (270) 830-9973

1305 N Elm St
Henderson, KY 42420
Phone (270) 827-7100

676 S Floyd St
Ste 200
Louisville, KY 40202
Phone (502) 629-2500

825 Barret Ave
Louisville, KY 40204
Phone (502) 272-5165

3430 Newburg Rd
Ste 150
Louisville, KY 40218
Phone (502) 459-9127

245 Flemingsburg Rd
Morehead, KY 40351
Phone (606) 780-5500

222 Medical Cir
Morehead, KY 40351
Phone (606) 783-6455

555 W Sun St
Morehead, KY 40351
Phone (606) 207-2931

2603 Kentucky Ave
Ste 304
Paducah, KY 42003
Phone (270) 415-4800

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/2069/brand/1/csg/29/fhir/r4

Organizations & group practices 19

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.

View all 19

Hospital & facility affiliations 18

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 18

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1273881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609977600000",
    "number": "1386962223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 ROSE ST",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405360001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 ROSE ST",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405360001",
            "telephone_number": "859-218-0837",
            "fax_number": "859-257-2605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATHEW",
        "first_name": "KELLI",
        "middle_name": "DAWN",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-05-15",
        "last_updated": "2021-01-07",
        "certification_date": "2021-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KY",
            "license": "03587",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "KY",
            "license": "03587",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

Verify at the official NPI Registry.