Active NPI
Bradley T Rankin, M.D.
- Allergy & Immunology Physician
- Paducah, KY
National Provider Identifier
1457355893
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Allergy & Immunology Physician
- License
- 25721
- Practice address
- 2312 Kentucky Avenue
Paducah, KY 42003 - Phone
- (270) 442-5151
- Fax
- (855) 656-7325
- NPI assigned
- Jun 13, 2005
- 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 |
|---|---|---|---|---|
| Allergy & Immunology Physician | 207K00000X | 25721 | KY | Primary |
Addresses
Primary practice location
2312 Kentucky Avenue
Paducah, KY 42003
Mailing address
9800 Shelbyville Rd
Suite #220
Louisville, KY 40223-2992
Phone (502) 429-8585
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 64257215 | Medicaid | KY | |
| P00824071 | Other | KY | RAILROAD MEDICARE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Bradley.Rankin.familyallergyasthma@FAA.meditab.direct-ci.com | PSF PLLC |
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
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 84.25 of 100
- Quality
- 86.03
- Promoting interoperability
- 86
- Improvement activities
- 40
- Cost
- 73.15
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| PSF PLLC | Allergy & Immunology | Current | Accepting new patients |
| Bradley T. Rankin, MD | Allergy & Immunology | Past | Accepting new patients |
Locations
111 Wildflower Ln
Ste A
Campbellsvlle, KY 42718
Phone (270) 469-3408
9800 Shelbyville Rd
Ste 220
Louisville, KY 40223
Phone (502) 429-8585
2312 Kentucky Ave
Paducah, KY 42003
Phone (270) 442-5151
Interoperability endpoints
- bradley.rankin.familyallergyasthma@faa.meditab.direct-ci.com
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.
-
- Allergy & Immunology Physician
- Louisville, KY
- NPI 1881785947
-
- Allergy & Immunology Physician
- Paducah, KY
- NPI 1558509042
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118620800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1615852800000",
"number": "1457355893",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9800 SHELBYVILLE RD",
"address_2": "SUITE #220",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402232992",
"telephone_number": "502-429-8585",
"fax_number": "855-656-7325"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2312 KENTUCKY AVENUE",
"city": "PADUCAH",
"state": "KY",
"postal_code": "42003",
"telephone_number": "270-442-5151",
"fax_number": "855-656-7325"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RANKIN",
"first_name": "BRADLEY",
"middle_name": "T",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-13",
"last_updated": "2021-03-16",
"certification_date": "2021-03-16",
"status": "A"
},
"taxonomies": [
{
"code": "207K00000X",
"taxonomy_group": "",
"desc": "Allergy & Immunology",
"state": "KY",
"license": "25721",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "64257215",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00824071",
"state": "KY"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "Bradley.Rankin.familyallergyasthma@FAA.meditab.direct-ci.com",
"affiliation": "Y",
"affiliationName": "PSF PLLC",
"address_1": "9800 Shelbyville RD",
"address_2": "STE 220",
"city": "Louisville",
"state": "KY",
"country_code": "US",
"postal_code": "40223",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Paducah, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2021; 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.