Individual provider Active NPI

Cletus Savio Carvalho, MD

  • Psychiatry Physician
  • Lexington, KY
National Provider Identifier
1457434870
Registry record updated Jun 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
35167 Issued in KY
Practice address
3070 Lakecrest Cir # 400-197
Lexington, KY 40513-1937
Phone
(859) 263-3888
Fax
(888) 235-9895
NPI assigned
Oct 21, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 14, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Psychiatry Physician 2084P0805X 35167 KY
Psychiatry Physician 2084P0800X 35167 KY Primary

Addresses

Primary practice location

3070 Lakecrest Cir # 400-197
Lexington, KY 40513-1937

Mailing address

3070 Lakecrest Cir # 400-197
Lexington, KY 40513-1937
Phone (859) 263-3888

Other practice location 1

811 Corporate Dr
Suite 102
Lexington, KY 40503-5407
Phone (859) 552-1432

Other practice location 2

151 N Eagle Creek Dr Ste 110
Lexington, KY 40509-1889
Phone (859) 263-3888

Other identifiers 1

IdentifierTypeStateIssuer
64059330MedicaidKY

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
I20040909000226 KY Practitioner - Psychiatry 1759357866 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St. Claire Medical Center IncGroup PAC ID 4486559085, 181 clinicians

Practice addresses (Care Compare)

222 Medical Cir
Morehead, KY 40351-1179
Phone (606) 783-6500

555 W Sun St
Morehead, KY 40351-1563
Phone (606) 783-6805

Hospital & facility affiliations

  • St Claire Regional Medical Center Hospital, Morehead, KY, CCN 180018

Merit-based Incentive Payment System (MIPS)

Final score
73.64 of 100Reported as group
Quality
56.63
Improvement activities
40
Cost
74.98

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
St Claire Medical Center, Inc CurrentSince Sep 1, 2015 Accepting new patients
St. Claire Medical Center Psychiatry CurrentSince Sep 1, 2015 Accepting new patients
St Claire Medical Center, Inc., Current Accepting new patients
St Claire Medical Center Inc Past Accepting new patients

Locations

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

445 Clinic Dr
Morehead, KY 40351
Phone (606) 783-6805

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

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 3

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": "1161388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560470400000",
    "number": "1457434870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3070 LAKECREST CIR # 400-197",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405131937",
            "telephone_number": "859-263-3888",
            "fax_number": "888-235-9895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3070 LAKECREST CIR # 400-197",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405131937",
            "telephone_number": "859-263-3888",
            "fax_number": "888-235-9895"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "811 Corporate Dr",
            "address_2": "Suite 102",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "KY",
            "postal_code": "405035407",
            "country_code": "US",
            "telephone_number": "859-552-1432",
            "fax_number": "859-554-7870",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "151 N Eagle Creek Dr Ste 110",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "KY",
            "postal_code": "405091889",
            "country_code": "US",
            "telephone_number": "859-263-3888",
            "fax_number": "888-235-9895",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARVALHO",
        "first_name": "CLETUS",
        "middle_name": "SAVIO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-21",
        "last_updated": "2019-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0805X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "state": "KY",
            "license": "35167",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "KY",
            "license": "35167",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64059330",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

Verify at the official NPI Registry.