Active NPI
Christian D Konsavage, M.D.
- Family Medicine Physician
- Burkesville, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- KY37254
- Practice address
- 299A Glasgow Rd
Burkesville, KY 42717-9696 - Phone
- (270) 864-2555
- Fax
- (270) 864-3777
- NPI assigned
- Jun 24, 2006
- Last updated
- Jan 13, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | KY37254 | KY | Primary |
Addresses
Primary practice location
299A Glasgow Rd
Burkesville, KY 42717-9696
Mailing address
896 Potters Creek Rd
Burkesville, KY 42717-7638
Phone (270) 433-6475
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 64058860 | Medicaid | KY | |
| 0176477 | Other | KY | BLUE CROSS |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of South Florida College of Medicine, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
299 Glasgow Rd
Burkesville, KY 42717-9696
Phone (270) 864-2511
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.47 of 100
- Quality
- 85.04
- Promoting interoperability
- 99
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| KY37254 | KY | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cumberland County Hospital Association Inc | Family Medicine | Current | Accepting new patients |
| Cumberland County Hospital Association Inc | Current | Accepting new patients | |
| Cumberland County Hospital Association Inc | Past | Accepting new patients |
Locations
299 Glasgow Rd
Burkesville, KY 42717
Phone (270) 864-2511
299A Glasgow Rd
Burkesville, KY 42717
Phone (270) 864-2555
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Critical Access Hospital
- Burkesville, KY
- NPI 1073567608
Family Medicine
-
dba Cumberland County EMS
- Land Ambulance
- Burkesville, KY
- NPI 1447607759
-
dba B.F. Taylor Medical Arts Clinic
- Rural Health Clinic/Center
- Burkesville, KY
- NPI 1114937208
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Burkesville, KY
- NPI 1073567608
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": "1294876800000",
"number": "1609802347",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "896 POTTERS CREEK RD",
"city": "BURKESVILLE",
"state": "KY",
"postal_code": "427177638",
"telephone_number": "270-433-6475"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "299A GLASGOW RD",
"city": "BURKESVILLE",
"state": "KY",
"postal_code": "427179696",
"telephone_number": "270-864-2555",
"fax_number": "270-864-3777"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KONSAVAGE",
"first_name": "CHRISTIAN",
"middle_name": "D",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-24",
"last_updated": "2011-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "KY",
"license": "KY37254",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "64058860",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "0176477",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Burkesville, KY
- Annelee Jayme, DMD
- Just for You Case Management
- Just for You Case Management
- Sarah Kate Killman, PTA
- Victoria Kingrey, NP
- Lake Cumberland District Health Department (Cumberland County Health Department)
- Lake Cumberland District Health Dept (Cumberland County High School)
- Lake Cumberland District Health Dept (Cumberland County Elementary School)
- Lake Cumberland District Health Dept (Cumberland County Middle School)
- Jewell B. Lay, FNP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.