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

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.

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 IDStateProvider typePAC IDDetails
I20150224002003 KY Practitioner - Pediatric Medicine 0345498275 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
47707KYMDPediatrics Physician
270177NYMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Owensboro Health Medical Group Inc Current
since Feb 1, 2015
Accepting new patients
Owensboro Health Medical Group Inc Current Accepting new patients
Owensboro Health Medical Group, Inc Pediatrics Current
since Feb 1, 2015
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
7100344380MedicaidKY

Electronic endpoints

TypeEndpointUseAffiliation
Direct Messaging Address adulabh50142@direct.owensborohealth.org Owensboro Health Medical Group, Inc

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Nov 27, 2023.

{
    "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

All providers in Owensboro, KY · Pediatrics Physician in Kentucky

Sources for this page

Verify at the official NPI Registry.