NPIMap

Individual provider Active NPI

Donald Brent Cherry, M.D.

  • Internal Medicine Physician
  • Somerset, KY
National Provider Identifier
1659377075
Registry record updated Sep 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
38122 Issued in KY
Practice address
850 Hail Knob Rd
Ste a
Somerset, KY 42503-3418
Phone
(606) 678-4288
Fax
(606) 678-2230
NPI assigned
Jun 21, 2005
Last updated
Sep 27, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 38122 KY Primary

Addresses

Primary practice location

850 Hail Knob Rd
Ste a
Somerset, KY 42503-3418

Mailing address

850 Hail Knob Rd
Ste a
Somerset, KY 42503-3418
Phone (606) 678-4288

Other identifiers 2

IdentifierTypeStateIssuer
64072192MedicaidKY
306491OtherKYANTHEM PROVIDER NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070228000383 KY Practitioner - Internal Medicine 0345342911 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Louisville School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Somerset Medical Group PLLCGroup PAC ID 3577581909, 3 clinicians

Practice addresses (Care Compare)

10 Tower Cir
Somerset, KY 42503-3476
Phone (606) 425-4895

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
38122KYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lake Cumberland Regional Hospital LLC CurrentSince Jan 1, 2006 Accepting new patients
Lake Cumberland Regional Hospital LLC CurrentSince Jan 1, 2006 Accepting new patients
Somerset Medical Group PLLC Internal Medicine CurrentSince Dec 1, 2003 Accepting new patients
Lake Cumberland Regional Hospital LLC Internal Medicine Current Accepting new patients
Lake Cumberland Surgical Assistants LLC Past Accepting new patients
Continuecare Hospital at Baptist Health,LLC Past Accepting new patients

Locations

1 Trillium Way
Corbin, KY 40701
Phone (606) 523-8521

1 Trillium Way
Lowr
Corbin, KY 40701
Phone (606) 523-5150

10 Tower Cir
Somerset, KY 42503
Phone (606) 425-4895

20 Tower Cir
Somerset, KY 42503
Phone (606) 425-4895

305 Langdon St
Somerset, KY 42503
Phone (606) 451-2994

350 Hospital Way
Ste 100
Somerset, KY 42503
Phone (606) 451-2600

353 Bogle St
Ste A
Somerset, KY 42503
Phone (606) 451-3820

850 Hail Knob Rd
#A
Somerset, KY 42503
Phone (606) 425-4141

Interoperability endpoints

  • Direct secure messaging: donald.cherry.1@21269.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/21269/brand/3/csg/1/fhir/r4

Organizations & group practices 6

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.

Hospital & facility affiliations 6

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": "1119312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348704000000",
    "number": "1659377075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 HAIL KNOB RD",
            "address_2": "STE A",
            "city": "SOMERSET",
            "state": "KY",
            "postal_code": "425033418",
            "telephone_number": "606-678-4288",
            "fax_number": "606-678-2230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 HAIL KNOB RD",
            "address_2": "STE A",
            "city": "SOMERSET",
            "state": "KY",
            "postal_code": "425033418",
            "telephone_number": "606-678-4288",
            "fax_number": "606-678-2230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHERRY",
        "first_name": "DONALD",
        "middle_name": "BRENT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-21",
        "last_updated": "2012-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KY",
            "license": "38122",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64072192",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM PROVIDER NUMBER",
            "identifier": "306491",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Somerset, KY

Sources for this page

Verify at the official NPI Registry.