Amit Kumar Dulabh, MD
Individual provider Active NPI Pediatrics Physician · Owensboro, KY
NPI 1598085342 · NPPES record last updated Nov 27, 2023
Key facts
- NPI
- 1598085342
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatrics Physician 208000000X
- License
- 47707 (KY)
- Practice address
- 1000 Breckenridge St Ste 300
Owensboro, KY 42303-0877 - Phone
- (270) 688-4480
- Fax
- (270) 688-4489
- NPI assigned
- Jun 3, 2010
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 5
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150224002003 | KY | Practitioner - Pediatric Medicine | 0345498275 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 47707 | KY | MD | Pediatrics Physician |
| 270177 | NY | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Owensboro Health Medical Group Inc | Current |
Accepting new patients | |
| Owensboro Health Medical Group Inc | Current | Accepting new patients | |
| Owensboro Health Medical Group, Inc | Pediatrics | Current |
Accepting new patients |
| Owensboro Health Inc | Past | Accepting new patients | |
| Owensboro Health Medical Group, Inc | Pediatrics | Past | Accepting new patients |
Locations
1201 Pleasant Valley Rd
Owensboro, KY 42303
Phone (270) 417-2000
2211 Mayfair Dr
Ste 102
Owensboro, KY 42301
Phone (270) 688-1351
1000 Breckenridge St
Ste 300
Owensboro, KY 42303
Phone (270) 688-4480
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 270177 | NY | |
| Pediatrics Physician | 208000000X | 47707 | KY | Yes |
Addresses
Primary practice location
1000 Breckenridge St Ste 300
Owensboro, KY 42303-0877
Mailing address
PO Box 23229
Owensboro, KY 42304-3229
Phone (270) 691-8070
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100344380 | Medicaid | KY |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | adulabh50142@direct.owensborohealth.org | Owensboro Health Medical Group, Inc |
NPI Registry JSON
{
"created_epoch": "1275523200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701043200000",
"number": "1598085342",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 23229",
"city": "OWENSBORO",
"state": "KY",
"postal_code": "423043229",
"telephone_number": "270-691-8070",
"fax_number": "270-691-8026"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 BRECKENRIDGE ST STE 300",
"city": "OWENSBORO",
"state": "KY",
"postal_code": "423030877",
"telephone_number": "270-688-4480",
"fax_number": "270-688-4489"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DULABH",
"first_name": "AMIT",
"middle_name": "KUMAR",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-06-03",
"last_updated": "2023-11-27",
"certification_date": "2020-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NY",
"license": "270177",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "KY",
"license": "47707",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100344380",
"state": "KY"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "adulabh50142@direct.owensborohealth.org",
"affiliation": "Y",
"affiliationName": "Owensboro Health Medical Group, Inc",
"address_1": "1000 Breckenridge St Ste 300",
"city": "Owensboro",
"state": "KY",
"country_code": "US",
"postal_code": "423030877",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Owensboro, KY
- Michael Dugger
- Heather Marie Duke
- Amy Dukes
- Debbie Dukes
- Haliee Rose Dukes
- Candace Brooke Dulabh
- Lisa Elaine Duncan
- Stephanie Duncan
- Dungarvin Kentucky, LLC - Owensboro
- George Tripp Dunham
All providers in Owensboro, KY · Pediatrics Physician in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 27, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.