Active NPI
Andrew Russell Roads, M.D.
- Child & Adolescent Psychiatry Physician
- Lexington, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child & Adolescent Psychiatry Physician
- License
- 50462
- Practice address
- Uk University Health Service
830 S Limestone
Lexington, KY 40508 - Phone
- (859) 323-5511
- NPI assigned
- Apr 29, 2013
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Child & Adolescent Psychiatry Physician | 2084P0804X | R3538 | KY | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Child & Adolescent Psychiatry Physician | 2084P0804X | 50462 | KY | Primary |
Addresses
Primary practice location
Uk University Health Service
830 S Limestone
Lexington, KY 40508
Mailing address
245 Fountain CT
Lexington, KY 40509-1888
Phone (859) 323-6021
Other practice location 1
University Of Kentucky 800 Rose St
Lexington, KY 40536-0001
Phone (859) 323-6021
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100312660 | Medicaid | KY | |
| 50462 | Other | KY | FULL MEDICAL LICENSE |
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kentucky Medical Services Foundation, Inc | Current | Accepting new patients |
Locations
1350 Bull Lea Rd
Lexington, KY 40511
Phone (859) 246-7363
245 Fountain Ct
Lexington, KY 40509
Phone (859) 323-6021
800 Rose St
Lexington, KY 40536
Phone (859) 257-8562
2400 Greatstone Pt
Lexington, KY 40504
Phone (859) 257-9800
Interoperability endpoints
- aroads16663@ukhcdirect.org
Organizations & group practices 1
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.
-
- Internal Medicine Physician
- Lexington, KY
- NPI 1326091448
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1367193600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1532995200000",
"number": "1467896845",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "245 FOUNTAIN CT",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405091888",
"telephone_number": "859-323-6021"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "UK UNIVERSITY HEALTH SERVICE",
"address_2": "830 S LIMESTONE",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "40508",
"telephone_number": "859-323-5511"
}
],
"practiceLocations": [
{
"address_1": "University Of Kentucky 800 Rose St",
"address_purpose": "LOCATION",
"city": "Lexington",
"state": "KY",
"postal_code": "405360001",
"country_code": "US",
"telephone_number": "859-323-6021",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ROADS",
"first_name": "ANDREW",
"middle_name": "RUSSELL",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-04-29",
"last_updated": "2018-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "KY",
"license": "R3538",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "KY",
"license": "50462",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100312660",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FULL MEDICAL LICENSE",
"identifier": "50462",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lexington, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2018; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.