Active NPI
Raymond K Pate II, RAYMOND PATE D.O.
- Family Medicine Physician
- Florence, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 03802
- Practice address
- 8726 US Hwy 42
Florence, KY 41042-9625 - Phone
- (859) 647-2900
- Fax
- (859) 647-0140
- NPI assigned
- Jun 17, 2010
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 03802 | KY | Primary |
| Family Medicine Physician | 207Q00000X | 02005199A | IN |
Addresses
Primary practice location
8726 US Hwy 42
Florence, KY 41042-9625
Mailing address
PO Box 635283
Cincinnati, OH 45263-5283
Phone (859) 647-2900
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0132203 | Medicaid | OH | |
| 7100360530 | Medicaid | KY | |
| P01469934 | Other | KY | RR MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY, IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Summit Medical Group Inc
Practice addresses (Care Compare)
1640 Flossie Dr
Greendale, IN 47025-8424
Phone (855) 277-4230
8726 US
Suite 42
Florence, KY 41042-9625
Phone (859) 384-2660
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 02005199A | IN | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Summit Medical Group, Inc | Family Medicine | Current | Accepting new patients |
| Summit Medical Group, Inc | Family Medicine | Current | Accepting new patients |
| Summit Medical Group, Inc. | Current | Accepting new patients | |
| Ques Transport LLC | Past | Accepting new patients |
Locations
204 Bridgeway St
Aurora, IN 47001
Phone (812) 926-3133
1640 Flossie Dr
Lawrenceburg, IN 47025
Phone (812) 496-3285
334 Thomas More Pkwy
Crestview Hills, KY 41017
Phone (859) 331-6065
405 Violet Rd
Crittenden, KY 41030
Phone (859) 428-1610
1980 Litton Ln
Hebron, KY 41048
Phone (859) 334-8700
1400 Grand Ave
Newport, KY 41071
Phone (859) 905-3070
300 Barnes Rd
Williamstown, KY 41097
Phone (859) 824-8217
Interoperability endpoints
- rpate180062@direct-prd.stelizabeth.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.
-
dba St. Elizabeth Physicians Behavioral Health
- Psychiatry Physician
- Erlanger, KY
- NPI 1508287640
Family Medicine, IN
-
dba St. Elizabeth Physicians
- Family Medicine Physician
- Erlanger, KY
- NPI 1750343216
-
dba St. Elizabeth Physicians
- Foot & Ankle Surgery Podiatrist
- Crestview Hills, KY
- NPI 1043188378
-
- Ambulance
- Spencer, VA
- NPI 1023850328
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba St Elizabeth Grant
- Critical Access Hospital
- Williamstown, KY
- NPI 1114974813
-
dba St Elizabeth Florence
- General Acute Care Hospital
- Florence, KY
- NPI 1154365062
-
- General Acute Care Hospital
- Edgewood, KY
- NPI 1467492421
-
dba St. Elizabeth Home Care
- Home Health Agency
- Florence, KY
- NPI 1316136534
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1276732800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1538956800000",
"number": "1659692234",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 635283",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452635283",
"telephone_number": "859-647-2900",
"fax_number": "859-647-0140"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8726 US HWY 42",
"city": "FLORENCE",
"state": "KY",
"postal_code": "410429625",
"telephone_number": "859-647-2900",
"fax_number": "859-647-0140"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATE",
"first_name": "RAYMOND",
"middle_name": "K",
"name_suffix": "II",
"credential": "RAYMOND PATE D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-06-17",
"last_updated": "2018-10-08",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "KY",
"license": "03802",
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IN",
"license": "02005199A",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0132203",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100360530",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P01469934",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Florence, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2018; 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.