Organization Active NPI

Medical Specialists of Kentuckiana

  • Pain Medicine (Anesthesiology) Physician
  • Owensboro, KY
National Provider Identifier
1669594487
Registry record updated Jun 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
35843 Issued in KY
Legal business name
MEDICAL SPECIALISTS OF KENTUCKIANA
Practice address
2816 Veach Road
Suite 105
Owensboro, KY 42303
Phone
(270) 684-7179
Fax
(270) 684-5829
NPI assigned
Apr 4, 2007
Reactivated
Jun 4, 2009
Organization subpart
Yes
Parent organization
MEDICAL SPECIALISTS OF KENTUCKIANA PLLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 4, 2009

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

Authorized official

Name
Dr. Krishna S Nadar, MD
Title
MD
Phone
(502) 896-6166

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207LP2900X 35843 KY Primary

Addresses

Primary practice location

2816 Veach Road
Suite 105
Owensboro, KY 42303

Mailing address

1013 Dupont Square North
Suite a
Louisville, KY 40207
Phone (502) 896-6166

Other identifiers 1

IdentifierTypeStateIssuer
64032923MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051110000705 KY Part B Supplier - Clinic/Group Practice 0345268090 Receives reassigned benefits from 3 practitioners
2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Owensboro, KY; Louisville, KY

Other NPIs on the same Medicare enrollment 2

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
18D1085086Medical Specialists of Kentuckiana, PLLC2816 Veach Road, Suite 105, Owensboro, KY 42303Certificate of waiverJun 9, 2028

National Provider Directory

National Provider Directory
Part of
Medical Specialists of Kentuckiana

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1244073600000",
    "number": "1669594487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1013 DUPONT SQUARE NORTH",
            "address_2": "SUITE A",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "40207",
            "telephone_number": "502-896-6166",
            "fax_number": "502-896-6168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2816 VEACH ROAD",
            "address_2": "SUITE 105",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "42303",
            "telephone_number": "270-684-7179",
            "fax_number": "270-684-5829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL SPECIALISTS OF KENTUCKIANA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MEDICAL SPECIALISTS OF KENTUCKIANA PLLC",
        "enumeration_date": "2007-04-04",
        "last_updated": "2009-06-04",
        "deactivation_date": "2009-04-08",
        "reactivation_date": "2009-06-04",
        "status": "A",
        "authorized_official_last_name": "NADAR",
        "authorized_official_first_name": "KRISHNA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "502-896-6166",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "KY",
            "license": "35843",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64032923",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Owensboro, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.