Individual provider Active NPI

Kaley Hardesty Chatham, O.D.

  • Optometrist
  • Owensboro, KY
National Provider Identifier
1396033346
Registry record updated Oct 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1839DT Issued in KY
Practice address
233 Williamsburg SQ
Owensboro, KY 42303-6473
Phone
(270) 684-3234
NPI assigned
Jul 12, 2011
Last updated
Oct 7, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1839DT KY Primary

Addresses

Primary practice location

233 Williamsburg SQ
Owensboro, KY 42303-6473

Mailing address

233 Williamsburg SQ
Owensboro, KY 42303-6473
Phone (270) 684-3234

Other identifiers 1

IdentifierTypeStateIssuer
7100171400MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, IN2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20110815000146 KY Practitioner - Optometry 3870762529 Reassigns benefits to 1 organization
I20140619000812 IN Practitioner - Optometry 3870762529 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University Alabama Birmingham - School of Optometry, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
William F. Metzger, PSCGroup PAC ID 7911923800, 11 clinicians

Practice addresses (Care Compare)

4350 Brownsboro Rd
Suite 210
Louisville, KY 40207-1681
Phone (248) 528-2116

Merit-based Incentive Payment System (MIPS)

Final score
96.51 of 100Reported as group
Quality
75.46
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1839DTKYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
American Eye Associates, LLC Past Accepting new patients
Ky Doctors of Optometry, PLLC Optometrist Past Accepting new patients
Onhealthcare LLC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: kaley.chatham.p1@direct.360care.nextgenshare.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1310428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317945600000",
    "number": "1396033346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "233 WILLIAMSBURG SQ",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423036473",
            "telephone_number": "270-684-3234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "233 WILLIAMSBURG SQ",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423036473",
            "telephone_number": "270-684-3234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHATHAM",
        "first_name": "KALEY",
        "middle_name": "HARDESTY",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-12",
        "last_updated": "2011-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KY",
            "license": "1839DT",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100171400",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Owensboro, KY

Sources for this page

Verify at the official NPI Registry.