Individual provider Active NPI

Kenneth Lynn Silk, M.D.

  • Otolaryngology Physician
  • Louisville, KY
National Provider Identifier
1396742193
Registry record updated Feb 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
17604 Issued in KY
Practice address
6420 Dutchmans Pkwy
#380
Louisville, KY 40205-3372
Phone
(502) 894-8441
Fax
(502) 894-4453
NPI assigned
Jul 7, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 17604 KY Primary
Otolaryngology Physician 207Y00000X 01023705A IN

Addresses

Primary practice location

6420 Dutchmans Pkwy
#380
Louisville, KY 40205-3372

Mailing address

6420 Dutchmans Pkwy
#380
Louisville, KY 40205-3372
Phone (502) 894-8441

Other identifiers 4

IdentifierTypeStateIssuer
0000000454443OtherKYANTHEM FACET
64176043MedicaidKY
040006458OtherKYRAILROAD MEDICARE
200065780AMedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01023705AINMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
ENT Care Centers PLLC Otolaryngology CurrentSince Apr 1, 2022 Accepting new patients

Locations

1405 Spring St
Jeffersonvlle, IN 47130
Phone (502) 894-8441

6420 Dutchmans Pkwy
Ste 380
Louisville, KY 40205
Phone (502) 894-8441

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392681600000",
    "number": "1396742193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6420 DUTCHMANS PKWY",
            "address_2": "#380",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402053372",
            "telephone_number": "502-894-8441",
            "fax_number": "502-894-4453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6420 DUTCHMANS PKWY",
            "address_2": "#380",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402053372",
            "telephone_number": "502-894-8441",
            "fax_number": "502-894-4453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SILK",
        "first_name": "KENNETH",
        "middle_name": "LYNN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-07",
        "last_updated": "2014-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "KY",
            "license": "17604",
            "primary": true
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "IN",
            "license": "01023705A",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM FACET",
            "identifier": "0000000454443",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64176043",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "040006458",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200065780A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.