Individual provider Active NPI

David Ryan Hogancamp, M.D.

  • Internal Medicine Physician
  • Paducah, KY
National Provider Identifier
1518224708
Registry record updated Nov 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
47895 Issued in KY
Practice address
2605 Kentucky Ave Ste 304
Paducah, KY 42003-3802
Phone
(270) 415-7050
Fax
(270) 415-7051
NPI assigned
Apr 12, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2020

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 47895 KY Primary

Addresses

Primary practice location

2605 Kentucky Ave Ste 304
Paducah, KY 42003-3802

Mailing address

PO Box 909
Louisville, KY 40201-0909
Phone (502) 589-6788

Other practice location 1

401 E Chestnut St
Suite 310
Louisville, KY 40202-5703
Phone (502) 589-6788

Other identifiers 2

IdentifierTypeStateIssuer
7100259890MedicaidKY
201296410MedicaidIN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dhogancamp28897@bhkydirect.com

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
I20150625001580 KY Practitioner - Internal MedicinePractitioner - Hospitalist 9133430564 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Hospitalist
Education
University of Louisville School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baptist Health Medical Group IncGroup PAC ID 5597867184, 2,431 clinicians

Practice addresses (Care Compare)

2605 Kentucky Ave
Suite 304
Paducah, KY 42003-3802
Phone (270) 575-4555

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.29 of 100Reported as apm
Quality
87.32
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Health Medical Group Inc CurrentSince May 1, 2019 Accepting new patients
University of Louisville Physicians Inc. Internal Medicine CurrentSince Jul 1, 2015 Accepting new patients
Baptist Health Medical Group Inc CurrentSince May 1, 2019 Accepting new patients
University of Louisville Physicians, Inc. Internal Medicine Current Accepting new patients
University of Louisville Physicians, Inc. CurrentSince Jul 1, 2015 Accepting new patients
University Medical Associates Internal Medicine Past Accepting new patients
University Medical Services Foundation Inc Past Accepting new patients

Locations

7752 Solution Ctr
Chicago, IL 60677

401 E Chestnut St
Unit 310
Louisville, KY 40202
Phone (502) 584-8563

571 S Floyd St
Louisville, KY 40202
Phone (502) 561-2700

2605 Kentucky Ave
Ste 304
Paducah, KY 42003
Phone (270) 575-4555

2603 Kentucky Ave
Ste 304
Paducah, KY 42003
Phone (270) 415-4800

4000 Kresge Way
St Matthews, KY 40207
Phone (502) 459-7902

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1334188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605744000000",
    "number": "1518224708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 909",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402010909",
            "telephone_number": "502-589-6788",
            "fax_number": "502-589-5093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2605 KENTUCKY AVE STE 304",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420033802",
            "telephone_number": "270-415-7050",
            "fax_number": "270-415-7051"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "401 E Chestnut St",
            "address_2": "Suite 310",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402025703",
            "country_code": "US",
            "telephone_number": "502-589-6788",
            "fax_number": "502-589-5093",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOGANCAMP",
        "first_name": "DAVID",
        "middle_name": "RYAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-04-12",
        "last_updated": "2020-11-19",
        "certification_date": "2020-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KY",
            "license": "47895",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100259890",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201296410",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dhogancamp28897@bhkydirect.com",
            "affiliation": "N",
            "address_1": "2605 Kentucky Ave Ste 304",
            "city": "Paducah",
            "state": "KY",
            "country_code": "US",
            "postal_code": "420033802",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Paducah, KY

Sources for this page

Verify at the official NPI Registry.