Individual provider Active NPI

Peter Timothy Egan, M.D.

  • Internal Medicine Physician
  • Vanceburg, KY
National Provider Identifier
1497856355
Registry record updated Oct 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
26672 Issued in KY
Practice address
211 Ky 59
Vanceburg, KY 41179-7647
Phone
(606) 796-3029
NPI assigned
Sep 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 26672 KY Primary

Addresses

Primary practice location

211 Ky 59
Vanceburg, KY 41179-7647

Mailing address

2215 Meadowridge Dr
Maysville, KY 41056-7905
Phone (606) 759-8706

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050406000905 KY Practitioner - Family PracticePractitioner - Internal Medicine 5193772739 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Internal Medicine
Education
University of Nebraska College of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lewis County Primary Care Center, IncGroup PAC ID 1153311774, 86 clinicians

Practice addresses (Care Compare)

211 Ky
Suite 59
Vanceburg, KY 41179-7647
Phone (606) 796-3029

PO Box
Suite 550
Vanceburg, KY 41179

PO Box
Suite 550
Vanceburg, KY 41179-0550

Hospital & facility affiliations

  • Somc Home Health Services Home health agency, Vanceburg, KY, CCN 187185
  • Southern Ohio Medical Center Hospital, Portsmouth, OH, CCN 360008
  • Meadowview Regional Medical Center Hospital, Maysville, KY, CCN 180019

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lewis County Primary Care Center, Inc. CurrentSince Jul 5, 2022 Accepting new patients
Lewis County Primary Care Center, Inc. CurrentSince Jul 5, 2022 Accepting new patients

Locations

432 16th St
Ashland, KY 41101
Phone (859) 509-5636

910 Kenton Station Dr
Maysville, KY 41056
Phone (606) 759-0490

910 Kenton Station Dr
Ste D
Maysville, KY 41056
Phone (606) 759-0706

211 Ky 59
Vanceburg, KY 41179
Phone (606) 793-3029

Interoperability endpoints

  • Direct secure messaging: peter.egan.1@13661.direct.athenahealth.com

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.

Hospital & facility affiliations 4

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": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665619200000",
    "number": "1497856355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2215 MEADOWRIDGE DR",
            "city": "MAYSVILLE",
            "state": "KY",
            "postal_code": "410567905",
            "telephone_number": "606-759-8706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 KY 59",
            "city": "VANCEBURG",
            "state": "KY",
            "postal_code": "411797647",
            "telephone_number": "606-796-3029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EGAN",
        "first_name": "PETER",
        "middle_name": "TIMOTHY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-25",
        "last_updated": "2022-10-13",
        "certification_date": "2022-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KY",
            "license": "26672",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vanceburg, KY

Sources for this page

Verify at the official NPI Registry.