NPIMap

Individual provider Active NPI

Jonathan Michael Doty, M.D.

  • Otolaryngology Physician
  • Danville, KY
National Provider Identifier
1467412007
Registry record updated Mar 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
35994 Issued in KY
Practice address
1250 Ben Ali Dr
Danville, KY 40422-8937
Phone
(859) 236-0903
Fax
(859) 236-7382
NPI assigned
Mar 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 35994 KY Primary

Addresses

Primary practice location

1250 Ben Ali Dr
Danville, KY 40422-8937

Mailing address

1250 Ben Ali Dr
Danville, KY 40422-8937
Phone (859) 236-0903

Other identifiers 2

IdentifierTypeStateIssuer
64038987MedicaidKY
000000378386OtherKYANTHEM

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ddoty@emhealth.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040312001167 KY Practitioner - Otolaryngology 6204725666 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Medical College of Wisconsin, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1250 Ben Ali Dr
Danville, KY 40422-8937
Phone (859) 236-0903

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
69.66 of 100Reported as group
Quality
39.23
Promoting interoperability
99
Improvement activities
40
Cost
43.79

Merit-based Incentive Payment System (MIPS)

Final score
81.36 of 100Reported as group
Quality
64.78
Promoting interoperability
100
Improvement activities
40
Cost
67.25

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Melanoma (skin cancer) excision1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35994KYMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ephraim McDowell Health Resource, Inc. Current Accepting new patients
Ephraim McDowell Health Resource, Inc CurrentSince Aug 1, 2017 Accepting new patients
Ephraim McDowell Health Resource, Inc Otolaryngology CurrentSince Aug 1, 2017 Accepting new patients
Ephraim McDowell Regional Medical Center Incorporated Past Accepting new patients
Diakon Lutheran Social Ministries PastSince Mar 31, 2004 Accepting new patients

Locations

120 Daniel Dr
Danville, KY 40422
Phone (859) 236-0903

1250 Ben Ali Dr
Danville, KY 40422
Phone (859) 236-0903

109 Daniel Dr
Danville, KY 40422
Phone (859) 236-3361

217 S 3rd St
Danville, KY 40422
Phone (859) 239-1000

Organizations & group practices 5

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 9

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": "1143417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615852800000",
    "number": "1467412007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1250 BEN ALI DR",
            "city": "DANVILLE",
            "state": "KY",
            "postal_code": "404228937",
            "telephone_number": "859-236-0903",
            "fax_number": "859-236-7382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 BEN ALI DR",
            "city": "DANVILLE",
            "state": "KY",
            "postal_code": "404228937",
            "telephone_number": "859-236-0903",
            "fax_number": "859-236-7382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOTY",
        "first_name": "JONATHAN",
        "middle_name": "MICHAEL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-27",
        "last_updated": "2021-03-16",
        "certification_date": "2021-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "KY",
            "license": "35994",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64038987",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000378386",
            "state": "KY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ddoty@emhealth.org",
            "affiliation": "N",
            "endpointDescription": "email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1250 Ben Ali Dr",
            "city": "Danville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "404228937",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Danville, KY

Sources for this page

Verify at the official NPI Registry.