NPIMap

Individual provider Active NPI

John Paul Gillespie, MD

  • Internal Medicine Physician
  • Richmond, KY
National Provider Identifier
1609984475
Registry record updated Sep 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
23451 Issued in KY
Practice address
2013 Merchant Dr Ste 3
Richmond, KY 40475-6856
Phone
(859) 624-2290
Fax
(859) 624-5455
NPI assigned
Aug 29, 2006
Last updated
Sep 1, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 23451 KY Primary

Addresses

Primary practice location

2013 Merchant Dr Ste 3
Richmond, KY 40475-6856

Mailing address

2013 Merchant Dr Ste 3
Richmond, KY 40475-6856
Phone (859) 624-2290

Other identifiers 2

IdentifierTypeStateIssuer
000000048340OtherKYANTHEM
64234511MedicaidKY

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
I20090708000240 KY Practitioner - Internal Medicine 0941264170 Reassigns benefits to 1 organization
Practice locations: Brea, KY; Richmond, KY; Berea, KY

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Kansas School of Med (KC/Wich/Sal), 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
H2 Rehabilitation Services of Kentucky, LLCGroup PAC ID 5799682688, shared by 7 NPIs, 187 clinicians
Advanced Primary and Behavioral Health LLCGroup PAC ID 5991110306, 3 clinicians
Kentucky Orthopedic Rehabilitation LLCGroup PAC ID 0345157293, shared by 15 NPIs, 68 clinicians

Practice addresses (Care Compare)

116 Meridian Way
Suite 9
Richmond, KY 40475-2876
Phone (859) 623-6334

2013 Merchant Dr
Suite 3
Richmond, KY 40475-6855

235 Boggs LN
Suite 9
Richmond, KY 40475-3325
Phone (859) 972-8630

6016 Winning Colors CT
Richmond, KY 40475-7548

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as group
Quality
0
Promoting interoperability
0
Improvement activities
0
Cost
0

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
23451KYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Primary & Behavioral Health LLC CurrentSince Dec 2, 2022 Accepting new patients
John P Gillespie MD Internal Medicine PastSince Jan 1, 1988 Accepting new patients
Baptist Healthcare System, Inc. Past Accepting new patients

Locations

2013 Merchant Dr
Ste 3
Richmond, KY 40475
Phone (859) 624-2290

789 Eastern Byp
Ste 10
Richmond, KY 40475
Phone (606) 624-2290

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/3135/brand/1/csg/1/fhir/r4
  • Direct secure messaging: j.gillespie@apabh-ky.direct.office.nextgen.com
  • Direct secure messaging: john.gillespie.1@31622.direct.athenahealth.com

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.

Hospital & facility affiliations 4

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": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693526400000",
    "number": "1609984475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2013 MERCHANT DR STE 3",
            "city": "RICHMOND",
            "state": "KY",
            "postal_code": "404756856",
            "telephone_number": "859-624-2290",
            "fax_number": "859-624-5455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2013 MERCHANT DR STE 3",
            "city": "RICHMOND",
            "state": "KY",
            "postal_code": "404756856",
            "telephone_number": "859-624-2290",
            "fax_number": "859-624-5455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILLESPIE",
        "first_name": "JOHN",
        "middle_name": "PAUL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-29",
        "last_updated": "2023-09-01",
        "certification_date": "2023-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KY",
            "license": "23451",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000048340",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64234511",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, KY

Sources for this page

Verify at the official NPI Registry.