Lexington Vein Institute PLLC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

LEXINGTON VEIN INSTITUTE PLLC

Practice address

3116 Harrodsburg Rd
Lexington, KY 40503-2709

Phone

(859) 312-9674

NPI assigned

Apr 23, 2018

Organization subpart

No

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

Authorized official

Name

Fadi Bacha, MDNPI 1639157456

Title

Owner

Phone

(859) 312-9674

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

Practitioners 2

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

• Fadi Bacha, M.D.

  • Internal Medicine Physician
  • Lexington, KY
  • NPI 1639157456
  Medicare reassignment NPD Authorized official
• Kirsten K Bradford Sharp, PA-C

  • Medical Physician Assistant
  • Lexington, KY
  • NPI 1457463911
  Medicare reassignment

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

{
    "created_epoch": "1524441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617667200000",
    "number": "1548757859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3116 HARRODSBURG RD",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405032709",
            "telephone_number": "859-268-0082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3116 HARRODSBURG RD",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405032709",
            "telephone_number": "859-312-9674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEXINGTON VEIN INSTITUTE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-23",
        "last_updated": "2021-04-06",
        "certification_date": "2021-04-06",
        "status": "A",
        "authorized_official_last_name": "BACHA",
        "authorized_official_first_name": "FADI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "859-312-9674",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lexington Vamc
• Lexington Vamc
• Lexington Vamc
• Lexington Vamc
• Lexington Vein & Aesthetic Center, PLLC
• Lexington Womens Health PLLC
• Lexington-Fayette Urban-County Health Department
• Lexington-Fayette Urban-County Health Department
• Lexington-Fayette Urban-County Health Department
• Lexington-Fayette Urban-County Health Department

• Surgery Physician in Lexington, KY
• Providers in Lexington, KY by specialty
• Surgery Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.