Individual provider Active NPI

Paul A Kniery, MD

  • Pediatrics Physician
  • Bowling Green, KY
National Provider Identifier
1598791071
Registry record updated Mar 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
35542 Issued in KY
Practice address
615 7TH Ave
Bowling Green, KY 42101
Phone
(270) 846-4800
Fax
(270) 846-4828
NPI assigned
Jun 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 35542 KY
Pediatrics Physician 208000000X 35542 KY Primary

Addresses

Primary practice location

615 7TH Ave
Bowling Green, KY 42101

Mailing address

PO Box 776879
Chicago, IL 60677-6879
Phone (502) 975-2205

Other practice location 1

1701 Ashley Circle
Suite 200 Bowling Green Internal Medicine & Pediatric
Bowling Green, KY 42104
Phone (270) 846-4800

Other practice location 2

1701 Ashley Circle
Suite 200 Bowling Green Internal Medicine & Pediatric
Bowling Green, KY 42104
Phone (270) 846-4800

Other identifiers 1

IdentifierTypeStateIssuer
64010358MedicaidKY

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address pkniery240500@direct.nortonhealthcare.org Direct

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
I20100716000281 KY Practitioner - Pediatric MedicinePractitioner - Internal Medicine 3971635657 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pediatric MedicineAlso: Internal Medicine
Education
Southern Illinois University School of Medicine, 1996
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Norton Childrens Medical Group - Bowling Green LLCGroup PAC ID 2163959701, 6 clinicians
Community Medical Associates - Bowling Green LLCGroup PAC ID 8729514690, 6 clinicians

Practice addresses (Care Compare)

615 7TH Ave
Bowling Green, KY 42101-6921
Phone (270) 846-4800

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Norton Children's Medical Group - Bowling Green LLC Internal Medicine CurrentSince Jan 1, 2025 Accepting new patients
Community Medical Associates, Inc. Current Accepting new patients
Norton Children's Medical Group, LLC CurrentSince Mar 1, 2024 Accepting new patients
Community Medical Associates, Inc. Internal Medicine CurrentSince Mar 1, 2024 Accepting new patients
Norton Children's Medical Group, LLC CurrentSince Mar 1, 2024 Accepting new patients
Community Medical Associates - Bowling Green LLC Internal Medicine CurrentSince Jan 1, 2025 Accepting new patients
Community Medical Associates, Inc. CurrentSince Mar 1, 2024 Accepting new patients

Locations

615 7th Ave
Bowling Green, KY 42101
Phone (270) 783-3573

1701 Ashley Cir
Ste 200
Bowling Green, KY 42104
Phone (270) 846-4800

601 S Floyd St
Ste 604
Louisville, KY 40202
Phone (502) 559-1670

825 Barret Ave
Louisville, KY 40204
Phone (502) 272-5165

Organizations & group practices 7

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": "1151107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774483200000",
    "number": "1598791071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 776879",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606776879",
            "telephone_number": "502-975-2205",
            "fax_number": "502-272-5339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 7TH AVE",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "42101",
            "telephone_number": "270-846-4800",
            "fax_number": "270-846-4828"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1701 Ashley Circle",
            "address_2": "Suite 200 Bowling Green Internal Medicine & Pediatric",
            "address_purpose": "LOCATION",
            "city": "Bowling Green",
            "state": "KY",
            "postal_code": "42104",
            "country_code": "US",
            "telephone_number": "270-846-4800",
            "fax_number": "270-846-4828",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1701 Ashley Circle",
            "address_2": "Suite 200 Bowling Green Internal Medicine & Pediatric",
            "address_purpose": "LOCATION",
            "city": "Bowling Green",
            "state": "KY",
            "postal_code": "42104",
            "country_code": "US",
            "telephone_number": "270-846-4800",
            "fax_number": "270-846-4828",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KNIERY",
        "first_name": "PAUL",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-24",
        "last_updated": "2026-03-26",
        "certification_date": "2026-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KY",
            "license": "35542",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "KY",
            "license": "35542",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64010358",
            "state": "KY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "pkniery240500@direct.nortonhealthcare.org",
            "affiliation": "N",
            "endpointDescription": "Direct messaging",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "615 7th Ave",
            "city": "Bowling Green",
            "state": "KY",
            "country_code": "US",
            "postal_code": "42101",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bowling Green, KY

Sources for this page

Verify at the official NPI Registry.