Active NPI
Matthew L Sublette, MD
- Gynecology Physician
- Paducah, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gynecology Physician
- License
- TP285
- Practice address
- 2605 Kentucky Ave
Suite 301
Paducah, KY 42003-3800 - Phone
- (270) 443-1220
- Fax
- (270) 443-0023
- NPI assigned
- Apr 20, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gynecology Physician | 207VG0400X | MD00048039 | WA | |
| Gynecology Physician | 207VG0400X | TP285 | KY | Primary |
Addresses
Primary practice location
2605 Kentucky Ave
Suite 301
Paducah, KY 42003-3800
Mailing address
2605 Kentucky Ave
Suite 306
Paducah, KY 42003-3800
Phone (270) 415-7653
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P01257175 | Other | WA | RR MEDICARE |
| 1639397359 | Medicaid | WA | |
| 0220235 | Other | WA | L&I |
| 8944558 | Other | WA | CV |
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160921001779 | KY | Practitioner - Obstetrics/Gynecology | 0446350201 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- University of Louisville School of Medicine, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Baptist Health Medical Group Inc
Practice addresses (Care Compare)
2605 Kentucky Ave
Suite 301
Paducah, KY 42003-3802
Phone (270) 443-1220
Hospital & facility affiliations
- Baptist Health Paducah
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.29 of 100
- Quality
- 87.32
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of the uterus | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baptist Health Medical Group Inc | Current | Accepting new patients | |
| Baptist Health Medical Group Inc | Current | Accepting new patients | |
| Baptist Health Medical Group Inc | Current | Accepting new patients | |
| Baptist Healthcare System, Inc | Past | Accepting new patients |
Locations
96 Future Dr
Corbin, KY 40701
2605 Kentucky Ave
Ste 301
Paducah, KY 42003
Phone (270) 443-1220
2605 Kentucky Ave
Ste 306
Paducah, KY 42003
Phone (270) 415-7653
2603 Kentucky Ave
Ste 304
Paducah, KY 42003
Phone (270) 415-4800
2501 Kentucky Ave
Paducah, KY 42003
Phone (270) 575-2180
Interoperability endpoints
- msublette51740@bhkydirect.com
Organizations & group practices 4
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.
-
- Rural Health Clinic/Center
- Powderly, KY
- NPI 1477048684
-
- General Acute Care Hospital
- Paducah, KY
- NPI 1730264128
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": "1177027200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1471478400000",
"number": "1639397359",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2605 KENTUCKY AVE",
"address_2": "SUITE 306",
"city": "PADUCAH",
"state": "KY",
"postal_code": "420033800",
"telephone_number": "270-415-7653",
"fax_number": "270-575-8359"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2605 KENTUCKY AVE",
"address_2": "SUITE 301",
"city": "PADUCAH",
"state": "KY",
"postal_code": "420033800",
"telephone_number": "270-443-1220",
"fax_number": "270-443-0023"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUBLETTE",
"first_name": "MATTHEW",
"middle_name": "L",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-20",
"last_updated": "2016-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "207VG0400X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Gynecology",
"state": "WA",
"license": "MD00048039",
"primary": false
},
{
"code": "207VG0400X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Gynecology",
"state": "KY",
"license": "TP285",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P01257175",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1639397359",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "L&I",
"identifier": "0220235",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CV",
"identifier": "8944558",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Paducah, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2016; 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.