Active NPI
Ian Blake Holbrook, M.D.
- Obstetrics & Gynecology Physician
- Richmond, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 50999
- Practice address
- 793 Eastern Byp
Richmond, KY 40475-2422 - Phone
- (859) 624-2229
- Fax
- (859) 625-9458
- NPI assigned
- May 6, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 50999 | KY | Primary |
Addresses
Primary practice location
793 Eastern Byp
Richmond, KY 40475-2422
Mailing address
5200 Commerce Crossings Dr FL 3
Louisville, KY 40229-2182
Phone (502) 253-4900
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | iholbrook73967@bhkydirect.com |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180627001356 | KY | Practitioner - Obstetrics/Gynecology | 2961702188 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- University of Louisville School of Medicine, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Baptist Health Medical Group Inc
Practice addresses (Care Compare)
4071 Tates Creek Centre Dr
Suite 202
Lexington, KY 40517-3094
Phone (859) 260-4390
793 Eastern Byp
Richmond, KY 40475-2440
795 Eastern Byp
Suite 5
Richmond, KY 40475-2406
Phone (859) 624-2229
801 Eastern Bypass
Richmond, KY 40475-2751
Phone (859) 623-3131
96 Future Dr
Corbin, KY 40701-8988
Phone (606) 528-0305
Hospital & facility affiliations
- Baptist Health Richmond
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.29 of 100
- Quality
- 87.32
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of the uterus | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 50999 | KY | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baptist Health Medical Group Inc | Current | Accepting new patients | |
| Baptist Health Medical Group Inc | Current | Accepting new patients | |
| Baptist Health Medical Group Inc | Current | Accepting new patients | |
| Baptist Healthcare System, Inc. | Past | Accepting new patients |
Locations
96 Future Dr
Corbin, KY 40701
4071 Tates Creek Centre Dr
Ste 202
Lexington, KY 40517
Phone (859) 260-4390
5200 Commerce Crossings Dr
Fl 3
Louisville, KY 40229
Phone (502) 253-4924
801 Eastern Byp
Richmond, KY 40475
Phone (606) 623-3131
793 Eastern Byp
Ste 201
Richmond, KY 40475
Phone (859) 624-6560
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.
-
- Rural Health Clinic/Center
- Calvert City, KY
- NPI 1003384694
-
- General Acute Care Hospital
- Richmond, KY
- NPI 1568452290
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": "1399334400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1673308800000",
"number": "1427468909",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5200 COMMERCE CROSSINGS DR FL 3",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402292182",
"telephone_number": "502-253-4900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "793 EASTERN BYP",
"city": "RICHMOND",
"state": "KY",
"postal_code": "404752422",
"telephone_number": "859-624-2229",
"fax_number": "859-625-9458"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLBROOK",
"first_name": "IAN",
"middle_name": "BLAKE",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-05-06",
"last_updated": "2023-01-10",
"certification_date": "2023-01-10",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "KY",
"license": "50999",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "iholbrook73967@bhkydirect.com",
"affiliation": "N",
"address_1": "793 Eastern Byp Ofc Bldg3",
"city": "Richmond",
"state": "KY",
"country_code": "US",
"postal_code": "404752422",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Richmond, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2023; 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.