Individual provider Active NPI

Peter S. Tate, M.D.

  • Surgical Oncology Physician
  • Lexington, KY
National Provider Identifier
1629075726
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Oncology PhysicianTaxonomy code 2086X0206X
License
27081 Issued in KY
Practice address
1760 Nicholasville Rd Ste 601
Lexington, KY 40503-1474
Phone
(859) 785-5141
Fax
(859) 221-8176
NPI assigned
Jul 5, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Oncology Physician 2086X0206X 27081 KY Primary

Addresses

Primary practice location

1760 Nicholasville Rd Ste 601
Lexington, KY 40503-1474

Mailing address

1760 Nicholasville Rd Ste 601
Lexington, KY 40503-1474
Phone (859) 785-5141

Other identifiers 1

IdentifierTypeStateIssuer
27081OtherKYSTATE MEDICAL LICENSE

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
I20100811000803 KY Practitioner - Surgical OncologyPractitioner - General Surgery 3072403732 Practice locations: Lexington, KY

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Peter Tate Surgical Oncology CurrentSince Dec 16, 2020 Accepting new patients
Cameron S Schaeffer MD PSC CurrentSince Mar 1, 2021 Accepting new patients

Locations

1760 Nicholasville Rd
Ste 502
Lexington, KY 40503
Phone (859) 278-2232

1760 Nicholasville Rd
Ste 202
Lexington, KY 40503
Phone (859) 277-5711

1760 Nicholasville Rd
Ste 601
Lexington, KY 40503
Phone (859) 275-5437

169 Burt Rd
Ste A
Lexington, KY 40503

Interoperability endpoints

  • Direct secure messaging: petertate@ls.allscriptsdirect.net

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1120521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1629075726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1760 NICHOLASVILLE RD STE 601",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405031474",
            "telephone_number": "859-785-5141",
            "fax_number": "859-221-8176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1760 NICHOLASVILLE RD STE 601",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405031474",
            "telephone_number": "859-785-5141",
            "fax_number": "859-221-8176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TATE",
        "first_name": "PETER",
        "middle_name": "S.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-05",
        "last_updated": "2023-03-07",
        "certification_date": "2020-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086X0206X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Oncology",
            "state": "KY",
            "license": "27081",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE MEDICAL LICENSE",
            "identifier": "27081",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

Verify at the official NPI Registry.