Bluegrass Internal Medicine Group

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

BLUEGRASS INTERNAL MEDICINE GROUP

Practice address

1401 Harrodsburg Rd
Suite C435
Lexington, KY 40504-3751

Phone

(859) 277-1570

Fax

(859) 277-1595

NPI assigned

Jul 11, 2007

Last updated

May 15, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Mary Beth Ajello

Title

Practice Manager

Phone

(859) 225-1339

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Daniel J. Beiting Jr., M.D.

  • Internal Medicine Physician
  • Lexington, KY
  • NPI 1407806532
  NPD
• Natalia A. Shrestha, M.D.

  • Internal Medicine Physician
  • Lexington, KY
  • NPI 1952366965
  NPD (past)

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

{
    "created_epoch": "1184112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210809600000",
    "number": "1609074624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "870 CORPORATE DR",
            "address_2": "SUITE 400",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405035416",
            "telephone_number": "859-277-9436",
            "fax_number": "859-277-1765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 HARRODSBURG RD",
            "address_2": "SUITE C435",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405043751",
            "telephone_number": "859-277-1570",
            "fax_number": "859-277-1595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUEGRASS INTERNAL MEDICINE GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-11",
        "last_updated": "2008-05-15",
        "status": "A",
        "authorized_official_last_name": "AJELLO",
        "authorized_official_first_name": "MARY BETH",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "859-225-1339",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100002460",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "DG3592",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bluegrass Hematology Oncology
• Bluegrass Home Care Services, LLC
• Bluegrass Inpatient Group PLLC
• Bluegrass Integrative Health LLC
• Bluegrass Internal Medicine and Nephrology
• Bluegrass Medical Associates PSC
• Bluegrass Medical Group PSC
• Bluegrass Mental Health and Mental Retardation Board
• Bluegrass Mobile Medical Services,LLC
• Bluegrass Newborn Specialists, PLC

• Internal Medicine Physician in Lexington, KY
• Providers in Lexington, KY by specialty
• Internal Medicine Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.