Active NPI
Edward J. Tanous Jr., MD
- Anatomic Pathology & Clinical Pathology Physician
- Winchester, KY
National Provider Identifier
1528060043
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- 25971
- Practice address
- 175 Hospital Drive
Winchester, KY 40391-1169 - Phone
- (859) 745-3500
- Fax
- (859) 737-8350
- NPI assigned
- Aug 15, 2005
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 25971 | KY | Primary |
Addresses
Primary practice location
175 Hospital Drive
Winchester, KY 40391-1169
Mailing address
3529 Solutions Center
Chicago, IL 60677-3005
Phone (800) 288-8325
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 64259716 | Medicaid | KY |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pathology
- Education
- University of Mississippi School of Medicine, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
290 Big Run Rd
Lexington, KY 40503-2903
Phone (859) 278-9513
Hospital & facility affiliations
- Lake Cumberland Regional Hospital
- Saint Joseph Hospital
- Baptist Health Deaconess Madisonville
- Taylor Regional Hospital
- Saint Joseph East
Merit-based Incentive Payment System (MIPS)
- Final score
- 80.98 of 100
- Quality
- 75
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19036 | KY | MD | Anatomic Pathology & Clinical Pathology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chipps, Caffrey & Dubilier, P.S.C | Anatomic Pathology & Clinical Pathology | Current | Accepting new patients |
Locations
290 Big Run Rd
Lexington, KY 40503
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.
-
- Anatomic Pathology & Clinical Pathology Physician
- Lexington, KY
- NPI 1336148683
-
- Internal Medicine Physician
- Lexington, KY
- NPI 1326091448
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rural Acute Care Hospital
- Madisonville, KY
- NPI 1447231956
-
- Rural Acute Care Hospital
- Somerset, KY
- NPI 1619038247
-
- General Acute Care Hospital
- Lexington, KY
- NPI 1437150984
-
- General Acute Care Hospital
- Lexington, KY
- NPI 1447457775
-
- General Acute Care Hospital
- Campbellsville, KY
- NPI 1689761942
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1348531200000",
"number": "1528060043",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3529 SOLUTIONS CENTER",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606773005",
"telephone_number": "800-288-8325",
"fax_number": "419-866-5453"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "175 HOSPITAL DRIVE",
"city": "WINCHESTER",
"state": "KY",
"postal_code": "403911169",
"telephone_number": "859-745-3500",
"fax_number": "859-737-8350"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TANOUS",
"first_name": "EDWARD",
"middle_name": "J.",
"name_suffix": "Jr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-15",
"last_updated": "2012-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "KY",
"license": "25971",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "64259716",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Winchester, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.