Individual provider Active NPI

Derek W, Jones, D.O.

  • Family Medicine Physician
  • Ashland, KY
National Provider Identifier
1477754919
Registry record updated Jul 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
03203 Issued in KY
Practice address
1101 Saint Christopher Dr
Suite 250
Ashland, KY 41101-7087
Phone
(606) 836-3196
Fax
(606) 836-2564
NPI assigned
May 31, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 03203 KY Primary

Addresses

Primary practice location

1101 Saint Christopher Dr
Suite 250
Ashland, KY 41101-7087

Mailing address

1101 Saint Christopher Dr
Suite 250
Ashland, KY 41101-7087
Phone (606) 836-3196

Other identifiers 4

IdentifierTypeStateIssuer
7100092610MedicaidKY
000000623843OtherKYANTHEM BCBS
P00754288OtherKYRR MEDICARE
2973242MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, OH2 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

Enrollment IDStateProvider typePAC IDDetails
I20090903000026 KY Practitioner - Family Practice 3274629845 Reassigns benefits to 1 organization
I20230613001688 OH Practitioner - Family Practice 3274629845 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Pikeville, Kentucky College of Osteopathic Med, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Family Medicine Center, PLLCGroup PAC ID 1759352842, 6 clinicians
Premier Therapy and Health Centers IncGroup PAC ID 7416859574, shared by 6 NPIs, 263 clinicians

Practice addresses (Care Compare)

1050 Clinton St
Ironton, OH 45638-2876
Phone (740) 532-6096

1180 Saint Christopher Dr
Ashland, KY 41101-7055
Phone 6068363196229

2400 13TH St
Ashland, KY 41102-4510
Phone (606) 329-0910

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
22.79 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
75.98

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
03203KYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Family Medicine Center, PLLC Family Medicine CurrentSince Jun 1, 2013 Accepting new patients

Locations

1101 Saint Christopher Dr
Ste 250
Ashland, KY 41101
Phone (606) 836-3196

1101 Saint Christopher Dr
Ste 350
Ashland, KY 41101
Phone (606) 833-6350

1050 Clinton St
Ironton, OH 45638
Phone (301) 651-3980

Interoperability endpoints

  • Direct secure messaging: djones72432@direct.kdhealth.us

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 5

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

NPI Registry JSON

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

{
    "created_epoch": "1180569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1374710400000",
    "number": "1477754919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 SAINT CHRISTOPHER DR",
            "address_2": "SUITE 250",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "411017087",
            "telephone_number": "606-836-3196",
            "fax_number": "606-836-2564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 SAINT CHRISTOPHER DR",
            "address_2": "SUITE 250",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "411017087",
            "telephone_number": "606-836-3196",
            "fax_number": "606-836-2564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "DEREK",
        "middle_name": "W,",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-31",
        "last_updated": "2013-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "03203",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100092610",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "000000623843",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00754288",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2973242",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashland, KY

Sources for this page

Verify at the official NPI Registry.