Bluegrass Inpatient Group PLLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

BLUEGRASS INPATIENT GROUP PLLC

Practice address

2050 Versailles Rd
Lexington, KY 40504-1405

Phone

(859) 317-8714

Fax

(859) 368-7681

NPI assigned

Oct 29, 2024

Last updated

Oct 29, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Fadi Bacha, MDNPI 1639157456

Title

Owner

Phone

(859) 312-9674

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kyoung Ethington, ARNP

  • Nurse Practitioner
  • Lexington, KY
  • NPI 1245435700
  Medicare reassignment NPD
• Fadi Bacha, M.D.

  • Internal Medicine Physician
  • Lexington, KY
  • NPI 1639157456
  NPD (past) Authorized official
• Ghassan Shakhashiro, M.D.

  • Hospitalist Physician
  • Lexington, KY
  • NPI 1871567396

  Internal Medicine

  NPD (past)

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

{
    "created_epoch": "1730160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730160000000",
    "number": "1477375608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "811 CORPORATE DR STE 205",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405035409",
            "telephone_number": "859-317-8714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2050 VERSAILLES RD",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405041405",
            "telephone_number": "859-317-8714",
            "fax_number": "859-368-7681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUEGRASS INPATIENT GROUP PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-29",
        "last_updated": "2024-10-29",
        "certification_date": "2024-10-29",
        "status": "A",
        "authorized_official_last_name": "BACHA",
        "authorized_official_first_name": "FADI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "859-312-9674",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bluegrass Health Psychology, Inc.
• Bluegrass Hearing Clinic, LLC
• Bluegrass Hearing Clinic, LLC
• Bluegrass Hematology Oncology
• Bluegrass Home Care Services, LLC
• Bluegrass Integrative Health LLC
• Bluegrass Internal Medicine and Nephrology
• Bluegrass Internal Medicine Group
• Bluegrass Medical Associates PSC
• Bluegrass Medical Group PSC

• Internal Medicine Physician in Lexington, KY
• Providers in Lexington, KY by specialty
• Internal Medicine Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.