Individual provider Active NPI

Reynaldo A Carnero, M.D.

  • Psychiatry Physician
  • Lexington, KY
National Provider Identifier
1629091095
Registry record updated Nov 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
22175 Issued in KY
Practice address
627 W Fourth St
Eastern State Hospital
Lexington, KY 40508-1294
Phone
(859) 246-7000
Fax
(859) 246-7023
NPI assigned
Jul 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 22175 KY Primary

Addresses

Primary practice location

627 W Fourth St
Eastern State Hospital
Lexington, KY 40508-1294

Mailing address

627 W Fourth St
Eastern State Hospital
Lexington, KY 40508-1294
Phone (859) 246-7000

Other identifiers 1

IdentifierTypeStateIssuer
22175MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Commonwealth of Kentucky Past Accepting new patients
Commonwealth of Kentucky Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194912000000",
    "number": "1629091095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "627 W FOURTH ST",
            "address_2": "EASTERN STATE HOSPITAL",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405081294",
            "telephone_number": "859-246-7000",
            "fax_number": "859-246-7023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "627 W FOURTH ST",
            "address_2": "EASTERN STATE HOSPITAL",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405081294",
            "telephone_number": "859-246-7000",
            "fax_number": "859-246-7023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARNERO",
        "first_name": "REYNALDO",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-25",
        "last_updated": "2007-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "KY",
            "license": "22175",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "22175",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.