Individual provider Active NPI

Michelle Lofwall, M.D.

  • Psychiatry Physician
  • Lexington, KY
National Provider Identifier
1437186863
Registry record updated Mar 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
39957 Issued in KY
Practice address
845 Angliana Ave
Lexington, KY 40508-3146
Phone
(859) 323-9321
Fax
(859) 257-5232
NPI assigned
Jun 28, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Psychiatry & Neurology) Physician 2084A0401X 39957 KY
Psychiatry Physician 2084P0800X D57913 MD
Psychiatry Physician 2084P0800X 39957 KY Primary

Addresses

Primary practice location

845 Angliana Ave
Lexington, KY 40508-3146

Mailing address

845 Angliana Ave
Lexington, KY 40508-3146
Phone (859) 323-9321

Other practice location 1

University of Kentucky Department of Psychiatry
3470 Blazer Parkway
Lexington, KY 40509
Phone (859) 257-9346

Other identifiers 1

IdentifierTypeStateIssuer
405047900MedicaidMD

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
I20060329000029 KY Practitioner - PsychiatryPractitioner - Addiction Medicine 4789663253 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
PsychiatryAlso: Addiction Medicine
Education
Chicago College of Medicine and Surgery, 1999
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

845 Angliana Ave
Lexington, KY 40508-3146
Phone (859) 323-9321

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

State licenses

LicenseStateTypeSpecialty
39957KYMDPsychiatry Physician
D57913MDMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Kentucky Psychiatry Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: mlofwall22177@ukhcdirect.org

Organizations & group practices 2

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": "1151452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553558400000",
    "number": "1437186863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "845 ANGLIANA AVE",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405083146",
            "telephone_number": "859-323-9321",
            "fax_number": "859-257-5232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "845 ANGLIANA AVE",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405083146",
            "telephone_number": "859-323-9321",
            "fax_number": "859-257-5232"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "University of Kentucky Department of Psychiatry",
            "address_2": "3470 Blazer Parkway",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "KY",
            "postal_code": "40509",
            "country_code": "US",
            "telephone_number": "859-257-9346",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOFWALL",
        "first_name": "MICHELLE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-28",
        "last_updated": "2019-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084A0401X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Medicine",
            "state": "KY",
            "license": "39957",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MD",
            "license": "D57913",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "KY",
            "license": "39957",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "405047900",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

Verify at the official NPI Registry.