Organization Active NPI

Lagrange Family Care Doctors P.S.C.

  • Family Medicine Physician
  • La Grange, KY
National Provider Identifier
1487766010
Registry record updated Apr 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
LAGRANGE FAMILY CARE DOCTORS P.S.C.
Practice address
501 Parker PL
Suite 200
La Grange, KY 40031-2223
Phone
(502) 222-7144
Fax
(502) 222-2034
NPI assigned
Aug 31, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2020

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

Authorized official

Name
Mr. Plavakeerthi Kemparajurs, M.D.NPI 1750371969
Title
M.D./Owner
Phone
(502) 222-7144

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X

Addresses

Primary practice location

501 Parker PL
Suite 200
La Grange, KY 40031-2223

Mailing address

501 Parker PL
Suite 200
La Grange, KY 40031-2223
Phone (502) 222-7144

Other identifiers 1

IdentifierTypeStateIssuer
64258189MedicaidKY

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041001000531 KY Part B Supplier - Clinic/Group Practice 1456320837 Receives reassigned benefits from 3 practitioners
Practice locations: La Grange, KY

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
18D0683509Lagrange Family Care Doctors501 Parker Place Ste 200, La Grange, KY 40031Provider-performed microscopyAug 29, 2027

National Provider Directory

National Provider Directory

Locations

501 Parker Pl
Unit 200
Lagrange, KY 40031
Phone (502) 222-7144

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1587945600000",
    "number": "1487766010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 PARKER PL",
            "address_2": "SUITE 200",
            "city": "LA GRANGE",
            "state": "KY",
            "postal_code": "400312223",
            "telephone_number": "502-222-7144",
            "fax_number": "502-222-2034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 PARKER PL",
            "address_2": "SUITE 200",
            "city": "LA GRANGE",
            "state": "KY",
            "postal_code": "400312223",
            "telephone_number": "502-222-7144",
            "fax_number": "502-222-2034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAGRANGE FAMILY CARE DOCTORS P.S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2020-04-27",
        "certification_date": "2020-04-27",
        "status": "A",
        "authorized_official_last_name": "KEMPARAJURS",
        "authorized_official_first_name": "PLAVAKEERTHI",
        "authorized_official_title_or_position": "M.D./OWNER",
        "authorized_official_telephone_number": "502-222-7144",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64258189",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in La Grange, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 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.
  • 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.

Verify at the official NPI Registry.