Individual provider Active NPI

Robert Paul Leath Jr., APRN

  • Acute Care Nurse Practitioner
  • Lexington, KY
National Provider Identifier
1669924296
Registry record updated Feb 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
3010834 Issued in KY
Practice address
Uk Division of Hospital Medicine
800 Rose Street, Mn604
Lexington, KY 40536-7001
Phone
(859) 323-6047
Fax
(859) 257-3873
NPI assigned
Oct 31, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 3010834 KY Primary

Addresses

Primary practice location

Uk Division of Hospital Medicine
800 Rose Street, Mn604
Lexington, KY 40536-7001

Mailing address

105 Ponder CT
Ste 104
Danville, KY 40422-9050
Phone (859) 236-4852

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170110002318 KY Practitioner - Nurse Practitioner 9234410002 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ephraim McDowell Health Resource IncGroup PAC ID 7517876956, 161 clinicians

Practice addresses (Care Compare)

105 Ponder CT
Suite 104
Danville, KY 40422-9050
Phone (859) 236-4216

Hospital & facility affiliations

  • Ephraim McDowell Fort Logan Hospital Hospital, Stanford, KY, CCN 181315

Merit-based Incentive Payment System (MIPS)

Final score
81.36 of 100Reported as group
Quality
64.78
Promoting interoperability
100
Improvement activities
40
Cost
67.25

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ephraim McDowell Health Resource, Inc. Current Accepting new patients
Ephraim McDowell Health Resource, Inc CurrentSince Feb 17, 2020 Accepting new patients
University of Kentucky CurrentSince Oct 31, 2016 Accepting new patients
Ephraim McDowell Health Resource, Inc CurrentSince Feb 17, 2020 Accepting new patients
Cogent Healthcare of Kentucky, PSC CurrentSince Aug 1, 2022 Accepting new patients
Hospitalist Medicine Physicians of Indiana, LLC CurrentSince Aug 1, 2022 Accepting new patients
Ephraim McDowell Regional Medical Center Incorporated Past Accepting new patients

Locations

1 Trillium Way
#5
Corbin, KY 40701
Phone (606) 451-2994

105 Ponder Ct
Ste 104
Danville, KY 40422
Phone (859) 236-4216

109 Daniel Dr
Danville, KY 40422
Phone (859) 236-3361

800 Rose St
Lexington, KY 40536
Phone (859) 257-8562

770 Rose St
Lexington, KY 40536
Phone (859) 323-3368

150 N Eagle Creek Dr
Lexington, KY 40509
Phone (859) 267-9773

800 Rose St
#604
Lexington, KY 40536
Phone (859) 323-6047

1001 Saint Joseph Ln
London, KY 40741
Phone (606) 330-6000

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

Organizations & group practices 7

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.

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": "1477872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581552000000",
    "number": "1669924296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 PONDER CT",
            "address_2": "STE 104",
            "city": "DANVILLE",
            "state": "KY",
            "postal_code": "404229050",
            "telephone_number": "859-236-4852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "UK DIVISION OF HOSPITAL MEDICINE",
            "address_2": "800 ROSE STREET, MN604",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405367001",
            "telephone_number": "859-323-6047",
            "fax_number": "859-257-3873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEATH",
        "first_name": "ROBERT",
        "middle_name": "PAUL",
        "name_suffix": "Jr.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-10-31",
        "last_updated": "2020-02-13",
        "certification_date": "2020-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "KY",
            "license": "3010834",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

Verify at the official NPI Registry.