Individual provider Active NPI

Ara S. Makdessian, M.D.

  • Otolaryngology Physician
  • Winchester, KY
National Provider Identifier
1598752248
Registry record updated Jun 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
39412 Issued in KY
Practice address
225 Hospital Drive
Suite 265, Clark Clinic B
Winchester, KY 40391-1156
Phone
(859) 745-1010
NPI assigned
Sep 27, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 39412 KY Primary

Addresses

Primary practice location

225 Hospital Drive
Suite 265, Clark Clinic B
Winchester, KY 40391-1156

Mailing address

225 Hospital Drive
Suite 265, Clark Clinic B
Winchester, KY 40391-1156
Phone (859) 745-1010

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
39412KYMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bluegrass Hearing Institute, PSC CurrentSince Feb 3, 2014 Accepting new patients

Locations

225 Hospital Dr
Ste 265
Winchester, KY 40391
Phone (859) 737-8482

Interoperability endpoints

  • Direct secure messaging: ara.makdessianmdfacs.p1@direct.lhead.nextgenshare.com
  • Direct secure messaging: amakdessian294327@direct.stlukeshealth.org

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1127779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718064000000",
    "number": "1598752248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 HOSPITAL DRIVE",
            "address_2": "SUITE 265, CLARK CLINIC B",
            "city": "WINCHESTER",
            "state": "KY",
            "postal_code": "403911156",
            "telephone_number": "859-745-1010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 HOSPITAL DRIVE",
            "address_2": "SUITE 265, CLARK CLINIC B",
            "city": "WINCHESTER",
            "state": "KY",
            "postal_code": "403911156",
            "telephone_number": "859-745-1010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAKDESSIAN",
        "first_name": "ARA",
        "middle_name": "S.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-27",
        "last_updated": "2024-06-11",
        "certification_date": "2024-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "KY",
            "license": "39412",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jun 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.

Verify at the official NPI Registry.