NPIMap

Individual provider Active NPI

Opal Prevatt

  • Internal Medicine Physician
  • Harlan, KY
National Provider Identifier
1609255181
Registry record updated Jul 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
00000 Issued in KY
Practice address
37 Ball Park Rd
Harlan, KY 40831
Phone
(606) 573-4520
NPI assigned
May 29, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Internal Medicine Physician 207R00000X 00000 KY Primary

Addresses

Primary practice location

37 Ball Park Rd
Harlan, KY 40831

Mailing address

37 Ball Park Rd
Harlan, KY 40831-1701

Other practice location 1

4725 N Federal Hwy
Fort Lauderdale, FL 33308-4603
Phone (917) 412-4016

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180815002069 KY Practitioner - Internal Medicine 6709135338 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Virginia School of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Medical Associates IncGroup PAC ID 7012811284, 1,368 clinicians

Practice addresses (Care Compare)

200 E Chestnut St
BLDG Suite303
Louisville, KY 40202-1831
Phone (502) 629-4409

Hospital & facility affiliations

  • Norton Hospitals, Inc Hospital, Louisville, KY, CCN 180088
  • UOFL HEALTH - JEWISH HOSPITAL and Mary & Elizabeth Hospital Hospital, Louisville, KY, CCN 180040

Merit-based Incentive Payment System (MIPS)

Final score
82.15 of 100Reported as apm
Quality
47.14
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
81.11 of 100Reported as group
Quality
63.34
Promoting interoperability
100
Improvement activities
40
Cost
73.68

Merit-based Incentive Payment System (MIPS)

Final score
83.57 of 100Reported as group
Quality
50.32
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
00000KYMDGenetic Counselor (M.S.)

Practice roles

OrganizationSpecialtyStatusNew patients
Community Medical Associates, Inc. Current Accepting new patients
Arh Mary Breckinridge Health Services, Inc. CurrentSince Jun 1, 2023 Accepting new patients
Appalachian Regional Healthcare, Inc Current Accepting new patients
Community Medical Associates, Inc. CurrentSince Aug 1, 2024 Accepting new patients
Arh Mary Breckinridge Health Services, Inc. Current Accepting new patients
Arh Mary Breckinridge Health Services, Inc. CurrentSince Oct 1, 2022 Accepting new patients
Community Medical Associates, Inc. Internal Medicine CurrentSince Aug 1, 2024 Accepting new patients
Arh Mary Breckinridge Health Services, Inc. Internal Medicine CurrentSince Oct 1, 2022 Accepting new patients
Appalachian Regional Healthcare, Inc CurrentSince Jan 4, 2025 Accepting new patients
Appalachian Regional Healthcare, Inc. Past Accepting new patients
Norton Hospitals, Inc Past Accepting new patients

Locations

80 Hospital Dr
Barbourville, KY 40906
Phone (606) 545-5500

80 Hospital Dr
#2
Barbourville, KY 40906
Phone (606) 545-4460

34 Mary Alice Dr
Flat Lick, KY 40935
Phone (606) 542-0146

37 Ball Park Rd
Harlan, KY 40831
Phone (606) 263-3900

200 E Chestnut St
Louisville, KY 40202
Phone (502) 446-8000

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

200 E Chestnut St
Ste 303
Louisville, KY 40202
Phone (502) 629-5552

Interoperability endpoints

  • Direct secure messaging: oprevatt294649@direct.nortonhealthcare.org
  • Direct secure messaging: opalprevatt@arh.medalliesdirect.net

Organizations & group practices 11

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 36

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 36

NPI Registry JSON

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

{
    "created_epoch": "1432857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531785600000",
    "number": "1609255181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37 BALL PARK RD",
            "city": "HARLAN",
            "state": "KY",
            "postal_code": "408311701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37 BALL PARK RD",
            "city": "HARLAN",
            "state": "KY",
            "postal_code": "40831",
            "telephone_number": "606-573-4520"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4725 N Federal Hwy",
            "address_purpose": "LOCATION",
            "city": "Fort Lauderdale",
            "state": "FL",
            "postal_code": "333084603",
            "country_code": "US",
            "telephone_number": "917-412-4016",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PREVATT",
        "first_name": "OPAL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-29",
        "last_updated": "2018-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KY",
            "license": "00000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harlan, KY

Sources for this page

Verify at the official NPI Registry.