Active NPI
D. Gene Dillman II, MD
- Family Medicine Physician
- Lexington, KY
National Provider Identifier
1477532703
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 29763
- Practice address
- 1517 Nicholasville Rd
Unit 404
Lexington, KY 40503-1429 - Phone
- (859) 255-7918
- Fax
- (859) 254-0515
- NPI assigned
- Jan 13, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 29763 | KY | Primary |
Addresses
Primary practice location
1517 Nicholasville Rd
Unit 404
Lexington, KY 40503-1429
Mailing address
1517 Nicholasville Rd
Unit 404
Lexington, KY 40503-1429
Phone (859) 255-7918
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 64297633 | Medicaid | KY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28763 | KY | MD | Urology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kentuckyone Health Medical Group, Inc. | Family Medicine | Past | Accepting new patients |
| Saint Joseph Medical Foundation, Inc. | Family Medicine | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Family Medicine Physician
- Lexington, KY
- NPI 1104875970
-
- Family Medicine Physician
- London, KY
- NPI 1700226271
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137110400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1302048000000",
"number": "1477532703",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1517 NICHOLASVILLE RD",
"address_2": "UNIT 404",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405031429",
"telephone_number": "859-255-7918",
"fax_number": "859-254-0515"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1517 NICHOLASVILLE RD",
"address_2": "UNIT 404",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405031429",
"telephone_number": "859-255-7918",
"fax_number": "859-254-0515"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DILLMAN",
"first_name": "D.",
"middle_name": "GENE",
"name_prefix": "Dr.",
"name_suffix": "II",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-01-13",
"last_updated": "2011-04-06",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "KY",
"license": "29763",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "64297633",
"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 Apr 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.