NPIMap

Organization Active NPI

United Clinics of Kentucky LLC

Doing business as United Clinics Winchester

  • Rural Health Clinic/Center
  • Winchester, KY
National Provider Identifier
1639908775
Registry record updated Jul 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
UNITED CLINICS OF KENTUCKY LLC
Doing business as
United Clinics Winchester
Practice address
172 Pedro Way
Winchester, KY 40391-8354
Phone
(606) 668-3120
NPI assigned
Jul 29, 2024
Last updated
Jul 29, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2024

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

Authorized official

Name
Nadeem Shaikh, MDNPI 1447221957
Title
Owner
Phone
(606) 668-3120

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X NU Primary

Addresses

Primary practice location

172 Pedro Way
Winchester, KY 40391-8354

Mailing address

PO Box 220
Winchester, KY 40392-0220
Phone (859) 263-4341

Other names 1

  • United Clinics Winchester Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20050225000679 KY Part B Supplier - Clinic/Group Practice 2668457094 Receives reassigned benefits from 20 practitioners
4 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Beattyville, KY; Campton, KY; Jackson, KY; West Liberty, KY; Winchester, KY
O20241002001653 KY Part A Provider - Rural Health Clinic 2668457094 Practice locations: Winchester, KY

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1639908775. Details of each certification follow.

Rural health clinic certification: CCN B03967

Legal name
UNITED CLINICS OF KENTUCKY LLC
Doing business as
UNITED CLINICS WINCHESTER
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Dec 27, 2024
Last certification
Dec 27, 2024
Ownership / control type
1B
Organization structure
LLCProprietary
Incorporated
Apr 15, 2004 in KY
Enrollment address
172 Pedro Way
Winchester, KY 40391-8354

Other NPIs with the same Medicare PAC ID 4

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 4

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
18D2310772United Clinics Winchester172 Pedro Way, Winchester, KY 40391Certificate of waiverSep 9, 2026

National Provider Directory

National Provider Directory
Tax ID family
United Clinics of Kentucky LLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

95 Jackson Hts
Ste A
Jackson, KY 41339
Phone (606) 718-6505

Ownership & related parties

All disclosed owners & managing parties 1

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Nadeem Shaikh Individual 5% Or Greater Direct Ownership InterestPresident Sep 1, 2024 100%
Corporate OfficerPresident Sep 1, 2024 100%
Corporate DirectorPresident Sep 1, 2024 100%
W-2 Managing EmployeeMD; Sep 1, 2024 100%
Operational/Managerial ControlMedical Director/President Sep 1, 2024 100%

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

  • Nadeem Shaikh, M.D.
    • Internal Medicine Physician
    • Campton, KY
    • NPI 1447221957

    5% Or Greater Direct Ownership Interest, Corporate Director, Corporate Officer, Operational/Managerial Control, W-2 Managing Employee

    CMS ownership

Practitioners & affiliated clinicians

Practitioners 17

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1722211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722211200000",
    "number": "1639908775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 220",
            "city": "WINCHESTER",
            "state": "KY",
            "postal_code": "403920220",
            "telephone_number": "859-263-4341",
            "fax_number": "859-263-7441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "172 PEDRO WAY",
            "city": "WINCHESTER",
            "state": "KY",
            "postal_code": "403918354",
            "telephone_number": "606-668-3120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITED CLINICS OF KENTUCKY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-29",
        "last_updated": "2024-07-29",
        "certification_date": "2024-07-29",
        "status": "A",
        "authorized_official_last_name": "SHAIKH",
        "authorized_official_first_name": "NADEEM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "606-668-3120",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "United Clinics Winchester",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Winchester, KY

Sources for this page

Verify at the official NPI Registry.