Active NPI
Kelli Dawn Mathew, D.O.
- Pulmonary Disease Physician
- Lexington, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- 03587
- 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
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 |
|---|---|---|---|---|
| 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, IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Pulmonary Disease
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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 100
- Quality
- 91.59
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 76.82
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.17 of 100
- 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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Methodist Health, Inc. | Pulmonary Disease | Current | Accepting new patients |
| Deaconess Hospital, Inc | Internal Medicine | Current | Accepting new patients |
| Deaconess Hospital Inc | Current | Accepting new patients | |
| Deaconess Hospital, Inc | Pulmonary Disease | Current | Accepting new patients |
| Methodist Health, Inc. | Current | Accepting new patients | |
| Community Medical Associates, Inc. | Internal Medicine | Current | Accepting new patients |
| St Claire Medical Center, Inc., | Internal Medicine | Current | Accepting new patients |
| Baptist Health Medical Group Inc | Internal Medicine | Current | Accepting new patients |
| St Claire Medical Center, Inc | Current | Accepting new patients | |
| Baptist Health Medical Group Inc | Current | Accepting new patients | |
| Community Medical Associates, Inc. | Internal Medicine | Current | Accepting new patients |
| Waukegan Clinic Corp | Internal Medicine | Current | Accepting new patients |
| Methodist Health, Inc. | Pulmonary Disease | Current | 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 | Current | 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
- 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.
-
- Multi-Specialty Clinic/Center
- Louisville, KY
- NPI 1306983762
-
- General Acute Care Hospital
- Morehead, KY
- NPI 1821168535
Internal Medicine
-
- Family Medicine Physician
- Paducah, KY
- NPI 1922401611
-
- Pain Clinic/Center
- Henderson, KY
- NPI 1780249060
-
- Internal Medicine Physician
- Elizabethtown, KY
- NPI 1093338527
-
- Rural Health Clinic/Center
- Dawson Springs, KY
- NPI 1982178216
-
- Pulmonary Disease Physician
- Louisville, KY
- NPI 1649636630
Internal Medicine
-
- Internal Medicine Physician
- Louisville, KY
- NPI 1881192409
-
- Pulmonary Disease Physician
- Henderson, KY
- NPI 1255933305
Hospital & facility affiliations 18
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Louisville, KY
- NPI 1043348808
-
- General Acute Care Hospital
- Louisville, KY
- NPI 1447388335
-
- General Acute Care Hospital
- Louisville, KY
- NPI 1699514463
-
- General Acute Care Hospital
- Louisville, KY
- NPI 1831195908
-
- General Acute Care Hospital
- Louisville, KY
- NPI 1891799227
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 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.