Individual provider Active NPI

Gregory Alexander Jicha, MD

  • Neurology Physician
  • Lexington, KY
National Provider Identifier
1619073202
Registry record updated May 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
39627 Issued in KY
Practice address
740 S Limestone
J 401
Lexington, KY 40536-0284
Phone
(859) 323-5661
Fax
(859) 257-4999
NPI assigned
Sep 15, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 39627 KY Primary

Addresses

Primary practice location

740 S Limestone
J 401
Lexington, KY 40536-0284

Mailing address

740 S Limestone
J 401
Lexington, KY 40536-0284
Phone (859) 323-5661

Other identifiers 1

IdentifierTypeStateIssuer
64105356MedicaidKY

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
I20050913000447 KY Practitioner - Neurology 5698766095 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Albert Einstein College of Medicine of Yeshiva University, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Kentucky Medical Services Foundation, IncGroup PAC ID 5698689909, 949 clinicians

Practice addresses (Care Compare)

100 Greatstone PT
Lexington, KY 40504-3274
Phone (859) 257-9800

2195 Harrodsburg Rd
FL 2
Lexington, KY 40504-3516
Phone (859) 323-4263

2400 Greatstone PT
Lexington, KY 40504-3274
Phone (859) 323-7426

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.77 of 100Reported as group
Quality
68.25
Promoting interoperability
100
Improvement activities
40
Cost
72.39

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
39627KYMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Appalachian Regional Healthcare, Inc CurrentSince Sep 22, 2022 Accepting new patients
Appalachian Regional Healthcare, Inc. CurrentSince Aug 1, 2022 Accepting new patients
Appalachian Regional Healthcare, Inc CurrentSince Aug 1, 2022 Accepting new patients
Appalachian Regional Healthcare, Inc Current Accepting new patients
Kentucky Medical Services Foundation, Inc Neurology CurrentSince Jul 8, 2005 Accepting new patients
Arh Tug Valley Health Services, Inc. Current Accepting new patients
Arh Tug Valley Health Services, Inc. CurrentSince Jul 7, 2022 Accepting new patients
Arh Tug Valley Health Services, Inc. CurrentSince Jul 7, 2022 Accepting new patients
Appalachian Regional Healthcare, Inc. Current Accepting new patients
Mayo Clinic Past Accepting new patients
University of Kentucky Past Accepting new patients
University of Kentucky Past Accepting new patients

Locations

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

181 Roy Campbell Dr
Hazard, KY 41701
Phone (606) 439-1316

800 Rose St
Lexington, KY 40536
Phone (859) 257-8562

2400 Greatstone Pt
Lexington, KY 40504
Phone (859) 257-9800

3602 Cumberland Ave
Ste B102
Middlesboro, KY 40965
Phone (606) 242-1577

5000 Ky Route 321
Ste 1001
Prestonsburg, KY 41653
Phone (606) 889-6390

5000 Ky Route 321
Prestonsburg, KY 41653
Phone (606) 886-7645

186 Brenna Blvd
Ste 100
Salyersville, KY 41465
Phone (606) 349-3800

214 Hospital Rd
Whitesburg, KY 41858
Phone (606) 633-3631

Interoperability endpoints

  • Direct secure messaging: gjicha21885@ukhcdirect.org

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 1

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": "1158278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651449600000",
    "number": "1619073202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "740 S LIMESTONE",
            "address_2": "J 401",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405360284",
            "telephone_number": "859-323-5661",
            "fax_number": "859-257-4999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "740 S LIMESTONE",
            "address_2": "J 401",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405360284",
            "telephone_number": "859-323-5661",
            "fax_number": "859-257-4999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JICHA",
        "first_name": "GREGORY",
        "middle_name": "ALEXANDER",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-15",
        "last_updated": "2022-05-02",
        "certification_date": "2022-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "KY",
            "license": "39627",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64105356",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

Verify at the official NPI Registry.