Individual provider Active NPI

Donald L Price, M.D.

  • Internal Medicine Physician
  • Crestview Hills, KY
National Provider Identifier
1407892235
Registry record updated Sep 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
36586 Issued in KY
Practice address
2765 Chapel PL
Suite 200
Crestview Hills, KY 41017-3413
Phone
(859) 578-3400
Fax
(859) 957-0055
NPI assigned
Jun 21, 2006
Last updated
Sep 10, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 36586 KY
Internal Medicine Physician 207R00000X 36586 KY Primary

Addresses

Primary practice location

2765 Chapel PL
Suite 200
Crestview Hills, KY 41017-3413

Mailing address

PO Box 635283
Cincinnati, OH 45263-5283
Phone (859) 578-3400

Other identifiers 4

IdentifierTypeStateIssuer
64042781MedicaidKY
P00839861OtherKYRAILROAD MEDICARE
110223259OtherKYRAILROAD MEDICARE
2272517MedicaidOH

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
I20100120000614 KY Practitioner - Internal MedicinePractitioner - Pediatric Medicine 0648312264 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Pediatric Medicine
Education
University of Tennessee, HSC, College of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Summit Medical Group IncGroup PAC ID 2163326240, 803 clinicians

Practice addresses (Care Compare)

300 Barnes Rd
Williamstown, KY 41097-9483
Phone (859) 824-8400

334 Thomas More Pkwy
Crestview Hills, KY 41017-3464
Phone (859) 301-5901

PO Box
Suite 635283
Cincinnati, OH 45263-5283

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
36586KYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Summit Medical Group, Inc. CurrentSince Jan 1, 2010 Accepting new patients
Summit Medical Group, Inc Internal Medicine CurrentSince Jan 1, 2010 Accepting new patients
Cincinnati Health Care Group PSC Past Accepting new patients

Locations

334 Thomas More Pkwy
Crestview Hills, KY 41017
Phone (859) 331-6065

334 Thomas More Pkwy
Ste 200
Crestview Hills, KY 41017
Phone (859) 344-3737

340 Thomas More Pkwy
#160
Crestview Hills, KY 41017

2765 Chapel Pl
Ste 200
Crestview Hills, KY 41017
Phone (859) 344-1900

351 Centre View Blvd
Crestview Hills, KY 41017
Phone (859) 572-2000

8780 US Highway 42
Florence, KY 41042
Phone (859) 384-2660

1980 Litton Ln
Hebron, KY 41048
Phone (859) 334-8700

300 Barnes Rd
Williamstown, KY 41097
Phone (859) 824-8217

Interoperability endpoints

  • Direct secure messaging: dprice5761@direct-prd.stelizabeth.com

Ownership & related parties

All facility ownership & control disclosures 12

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
St Elizabeth Healthcare GrantWilliamstown, KY, CCN 181311 Hospital Corporate Director Jan 1, 2024
St. Elizabeth EdgewoodEdgewood, KY, CCN 180035 Hospital Corporate Director Jan 1, 2024
St Elizabeth Ft ThomasFort Thomas, KY, CCN 180001 Hospital Corporate Director Jan 1, 2024
St Elizabeth Healthcare FlorenceFlorence, KY, CCN 180045 Hospital Corporate Director Jan 1, 2024
St. Elizabeth Dearborn HospitalLawrenceburg, IN, CCN 150086 Hospital Corporate Director Jan 1, 2024
St Elizabeth Healthcare GrantWilliamstown, KY, CCN 18Z311 Hospital Corporate Director Jan 1, 2024
St. Elizabeth Ft. Thomas - SNFFort Thomas, KY, CCN 185328 Skilled nursing facility Corporate Director Jan 1, 2024
St Elizabeth HealthcareEdgewood, KY, CCN 185394 Skilled nursing facility Corporate Director Jan 1, 2024
St Elizabeth HealthcareEdgewood, KY, CCN 181513 Hospice Corporate Director Jan 1, 2024
St. Elizabeth PhysiciansRising Sun, IN, CCN 153958 Rural health clinic Corporate Director Jan 1, 2019
St. Elizabeth PhysiciansMilan, IN, CCN 153956 Rural health clinic Corporate Director Jan 1, 2019
St. Elizabeth PhysiciansVevay, IN, CCN 153959 Rural health clinic Corporate Director Jan 1, 2019

Owned or controlled facilities with NPI records 12

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 3

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.

Hospital & facility affiliations 7

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": "1150848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536537600000",
    "number": "1407892235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 635283",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452635283",
            "telephone_number": "859-578-3400",
            "fax_number": "859-957-0055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2765 CHAPEL PL",
            "address_2": "SUITE 200",
            "city": "CRESTVIEW HILLS",
            "state": "KY",
            "postal_code": "410173413",
            "telephone_number": "859-578-3400",
            "fax_number": "859-957-0055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRICE",
        "first_name": "DONALD",
        "middle_name": "L",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-21",
        "last_updated": "2018-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "KY",
            "license": "36586",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KY",
            "license": "36586",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64042781",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00839861",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "110223259",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2272517",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Crestview Hills, KY

Sources for this page

Verify at the official NPI Registry.