John G Vansavage, MD

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

32546 Issued in KY

Practice address

1029 Medical Center Cir Ste 408
Mayfield, KY 42066-1189

Phone

(270) 251-4060

Fax

(270) 251-4061

NPI assigned

Jun 20, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TX, KY2 enrollments

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 2

Specialty

Urology

Education

Vanderbilt University School of Medicine, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pinelake Physician Practice LLCGroup PAC ID 6800797507, 45 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Jackson Purchase Medical Center Hospital, Mayfield, KY, CCN 180116
• Baptist Health Paducah Hospital, Paducah, KY, CCN 180104
• Murray-Calloway County Hospital Hospital, Murray, KY, CCN 180027

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: john.vansavage.1@19475.direct.athenahealth.com

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.

• Pinelake Physician Practice, LLC

  • Rural Health Clinic/Center
  • Mayfield, KY
  • NPI 1295960532
  Medicare reassignment Care Compare group NPD
• Texas Children'S Physician Group

  • Pediatrics Physician
  • Houston, TX
  • NPI 1861675506
  Medicare reassignment NPD
• Pinelake Physician Practice, LLC

  • Rural Health Clinic/Center
  • Mayfield, KY
  • NPI 1841900347
  NPD
• Pinelake Physician Practice, LLC

  • Internal Medicine Physician
  • Mayfield, KY
  • NPI 1861563439
  NPD
• Regional Urology LLC.

  • Urology Physician
  • Shreveport, LA
  • NPI 1245237742
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Baptist Healthcare System, Inc

  • General Acute Care Hospital
  • Paducah, KY
  • NPI 1730264128
  Care Compare affiliation
• Murray-Calloway County Public Hospital Corporation

  • General Acute Care Hospital
  • Murray, KY
  • NPI 1073504981
  Care Compare affiliation
• Pinelake Regional Hospital LLC

  • Rural Acute Care Hospital
  • Mayfield, KY
  • NPI 1891892741
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1119225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1467457945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1029 MEDICAL CENTER CIRCLE",
            "address_2": "SUITE 408",
            "city": "MAYFIELD",
            "state": "KY",
            "postal_code": "420661189",
            "telephone_number": "270-251-4060",
            "fax_number": "270-251-4061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1029 MEDICAL CENTER CIR STE 408",
            "city": "MAYFIELD",
            "state": "KY",
            "postal_code": "420661189",
            "telephone_number": "270-251-4060",
            "fax_number": "270-251-4061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANSAVAGE",
        "first_name": "JOHN",
        "middle_name": "G",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-20",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "LA",
            "license": "14153R",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "KY",
            "license": "32546",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "340019044",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1189413",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Leslie Travis, RN
• Tracy Lyn Travis
• Tree of Hope Inc
• Rudolph Joseph Triana Jr., M.D.
• Yolanda S Tynes, ARNP
• Vantage Integrative Psychiatry
• Jared M Veazey, L.M.T.
• W R B Enterprises Inc
• Wal-Mart Stores East LP
• Wal-Mart Stores East, LP

• Urology Physician in Mayfield, KY
• Providers in Mayfield, KY by specialty
• Urology Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.

Verify at the official NPI Registry.