Individual provider Active NPI

Nicholas Shane Kouns, D.O.

  • Hospitalist Physician
  • Winchester, KY
National Provider Identifier
1528166261
Registry record updated Oct 22, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
02393 Issued in KY
Practice address
1107 W Lexington Ave
Winchester, KY 40391-1169
Phone
(859) 745-6471
Fax
(859) 744-0257
NPI assigned
Sep 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X 02393 KY Primary

Addresses

Primary practice location

1107 W Lexington Ave
Winchester, KY 40391-1169

Mailing address

PO Box 4140
1107 West Lexington Avenue
Winchester, KY 40392-4140
Phone (859) 745-6471

Other identifiers 2

IdentifierTypeStateIssuer
000000356894OtherKYBLUE CROSS
64023930MedicaidKY

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
I20041005000417 KY Practitioner - Internal Medicine 4486613643 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Nova Southeastern College of Osteo Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kentucky Hospitalist Group PLLCGroup PAC ID 0345656377, 10 clinicians

Practice addresses (Care Compare)

175 Hospital Dr
Winchester, KY 40391-9591
Phone (859) 901-0012

Hospital & facility affiliations

  • Clark Regional Medical Center Hospital, Winchester, KY, CCN 180092
  • Marcum and Wallace Memorial Hospital Hospital, Irvine, KY, CCN 181301

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Kentucky Hospital, LLC Hospitalist CurrentSince May 1, 2010 Accepting new patients
Clark Regional Physician Practices, LLC Hospitalist CurrentSince May 1, 2015 Accepting new patients
Clark Regional Physician Practices LLC CurrentSince May 1, 2015 Accepting new patients
Kentucky Hospital LLC CurrentSince May 1, 2010 Accepting new patients
Kentucky Hospital, LLC Current Accepting new patients
Kentucky Hospital, LLC Past Accepting new patients
Family Care Clinic, PLLC Past Accepting new patients

Locations

68 E Elkins St
Stanton, KY 40380
Phone (606) 663-2511

175 Hospital Dr
Winchester, KY 40391
Phone (859) 745-3500

225 Hospital Dr
Ste 200A
Winchester, KY 40391
Phone (859) 737-6480

120 Professional Ave
Winchester, KY 40391
Phone (859) 744-2485

1107 W Lexington Ave
Winchester, KY 40391
Phone (859) 745-3500

Interoperability endpoints

  • Direct secure messaging: clrk_-_nicholas_kouns_-_physician@yourcarecommunity.org

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 2

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": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193011200000",
    "number": "1528166261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4140",
            "address_2": "1107 WEST LEXINGTON AVENUE",
            "city": "WINCHESTER",
            "state": "KY",
            "postal_code": "403924140",
            "telephone_number": "859-745-6471",
            "fax_number": "859-744-0257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1107 W LEXINGTON AVE",
            "city": "WINCHESTER",
            "state": "KY",
            "postal_code": "403911169",
            "telephone_number": "859-745-6471",
            "fax_number": "859-744-0257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOUNS",
        "first_name": "NICHOLAS",
        "middle_name": "SHANE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2007-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "KY",
            "license": "02393",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "000000356894",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64023930",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Winchester, KY

Sources for this page

Verify at the official NPI Registry.