Individual provider Active NPI

Eric Endean, MD

  • Vascular Surgery Physician
  • Lexington, KY
National Provider Identifier
1407805617
Registry record updated Nov 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
26211 Issued in KY
Practice address
740 South Limestone
Lexington, KY 40536-0001
Phone
(859) 257-3253
NPI assigned
May 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X 26211 KY Primary

Addresses

Primary practice location

740 South Limestone
Lexington, KY 40536-0001

Mailing address

800 Rose Street
C215
Lexington, KY 50436-0293
Phone (859) 323-6346

Other identifiers 1

IdentifierTypeStateIssuer
64262116MedicaidKY

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040420000521 KY Practitioner - Vascular Surgery 5395730196 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Vascular Surgery
Education
University of Michigan Medical School, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kentucky Medical Services Foundation, IncGroup PAC ID 5698689909, 949 clinicians

Practice addresses (Care Compare)

100 Greatstone PT
Lexington, KY 40504-3274
Phone (859) 257-9800

2400 Greatstone PT
Lexington, KY 40504-3274
Phone (859) 323-7426

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.77 of 100Reported as group
Quality
68.25
Promoting interoperability
100
Improvement activities
40
Cost
72.39

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
St Claire Medical Center, Inc Vascular Surgery CurrentSince Jan 25, 2018 Accepting new patients
St Claire Medical Center, Inc CurrentSince Jan 25, 2018 Accepting new patients
Kentucky Medical Services Foundation, Inc CurrentSince Apr 15, 2003 Accepting new patients
St Claire Medical Center, Inc., Current Accepting new patients

Locations

81 Ball Park Rd
Harlan, KY 40831
Phone (606) 573-8100

750 Morton Blvd
Hazard, KY 41701
Phone (606) 439-1559

100 Medical Dr
Hazard, KY 41701
Phone (606) 439-6600

800 Rose St
#C215
Lexington, KY 40536

2400 Greatstone Pt
Lexington, KY 40504
Phone (859) 257-9800

150 N Eagle Creek Dr
Lexington, KY 40509
Phone (859) 267-9773

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

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

5000 Ky Route 321
Prestonsburg, KY 41653
Phone (606) 886-7645

Interoperability endpoints

  • Direct secure messaging: eendean23032@ukhcdirect.org

Organizations & group practices 4

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1147046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354147200000",
    "number": "1407805617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 ROSE STREET",
            "address_2": "C215",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "504360293",
            "telephone_number": "859-323-6346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "740 SOUTH LIMESTONE",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405360001",
            "telephone_number": "859-257-3253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENDEAN",
        "first_name": "ERIC",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-08",
        "last_updated": "2012-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "KY",
            "license": "26211",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64262116",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

Verify at the official NPI Registry.