Active NPI
Chester L Crump, MD
- Family Medicine Physician
- Hopkinsville, KY
National Provider Identifier
1477528339
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 25188
- Practice address
- 1717 High St
Suite 2D
Hopkinsville, KY 42240-6300 - Phone
- (270) 885-6101
- Fax
- (270) 885-3563
- NPI assigned
- Feb 22, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 35052673C | OH | |
| Family Medicine Physician | 207Q00000X | 25188 | KY | Primary |
Addresses
Primary practice location
1717 High St
Suite 2D
Hopkinsville, KY 42240-6300
Mailing address
1717 High St
Suite 2D
Hopkinsville, KY 42240-6300
Phone (270) 885-6101
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 080145712 | Other | RAILROAD MEDICARE | |
| 000000065370 | Other | KY | ANTHEM BCBS |
| 610755200 | Other | DOL | |
| 64251887 | Medicaid | KY |
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100524000870 | KY | Practitioner - Family Practice | 7810026259 | Practice locations: Hopkinsville, KY |
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of Kentucky College of Medicine, 1984
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1717 High St
Hopkinsville, KY 42240-6300
Phone (270) 885-6101
Hospital & facility affiliations
- Lifeline Home Health of Western Kentucky
- Baptist Health Deaconess Health at Home
- Caretenders
- Jennie Stuart Medical Center
- Trigg County Hospital
- Baptist Health Deaconess Madisonville
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Removal of tissue | 1-10 |
| Removal of nail tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35052673C | OH | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chester L. Crump MD PLLC | Family Medicine | Past | Accepting new patients |
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.
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Madisonville, KY
- NPI 1316723836
-
- Rural Acute Care Hospital
- Madisonville, KY
- NPI 1447231956
Hospital
-
- Home Health Agency
- Hopkinsville, KY
- NPI 1851324297
-
- General Acute Care Hospital
- Hopkinsville, KY
- NPI 1235139312
Hospital
-
- Home Health Agency
- Cadiz, KY
- NPI 1770737728
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140566400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1598486400000",
"number": "1477528339",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1717 HIGH ST",
"address_2": "SUITE 2D",
"city": "HOPKINSVILLE",
"state": "KY",
"postal_code": "422406300",
"telephone_number": "270-885-6101",
"fax_number": "270-885-3563"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1717 HIGH ST",
"address_2": "SUITE 2D",
"city": "HOPKINSVILLE",
"state": "KY",
"postal_code": "422406300",
"telephone_number": "270-885-6101",
"fax_number": "270-885-3563"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRUMP",
"first_name": "CHESTER",
"middle_name": "L",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-02-22",
"last_updated": "2020-08-27",
"certification_date": "2020-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OH",
"license": "35052673C",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "KY",
"license": "25188",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "080145712",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BCBS",
"identifier": "000000065370",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DOL",
"identifier": "610755200",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "64251887",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Hopkinsville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2020; 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.