Active NPI
Medical Specialists of Kentuckiana
- Pain Medicine (Anesthesiology) Physician
- Owensboro, KY
National Provider Identifier
1669594487
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Anesthesiology) Physician
- License
- 35843
- 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 PLLC
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Anesthesiology) Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 64032923 | Medicaid | KY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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.
-
- Pain Medicine (Anesthesiology) Physician
- Louisville, KY
- NPI 1174795181
O20051110000705
-
dba Paincare Institute division
- Pain Medicine (Anesthesiology) Physician
- Louisville, KY
- NPI 1497776397
O20051110000705
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 18D1085086 | Medical Specialists of Kentuckiana, PLLC | Certificate of waiver | Jun 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.
-
- Internal Medicine Physician
- Louisville, KY
- NPI 1881627669
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.