Individual provider Active NPI

Kamlesh C Dave, MD

  • Family Medicine Physician
  • Lagrange, KY
National Provider Identifier
1679599500
Registry record updated Jan 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
34317 Issued in KY
Practice address
1006 New Moody LN
Lagrange, KY 40031-9122
Phone
(502) 222-0028
Fax
(502) 222-0029
NPI assigned
Jul 14, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 7, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 34317 KY Primary

Addresses

Primary practice location

1006 New Moody LN
Lagrange, KY 40031-9122

Mailing address

PO Box 473
La Grange, KY 40031-0473
Phone (502) 693-2465

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040213000158 KY Practitioner - Family Practice 0042118820 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Louisville School of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
First You Medical Center PLLCGroup PAC ID 4688572464, shared by 2 NPIs, 7 clinicians
PT Pros, IncGroup PAC ID 0143139337, shared by 14 NPIs, 263 clinicians

Practice addresses (Care Compare)

151 E Broadway
Eminence, KY 40019-1149
Phone (502) 845-6288

18 Alexander Ave
Bedford, KY 40006-1114
Phone (502) 255-0222

4031 N Dixie Hwy
Elizabethtown, KY 42701-7873
Phone (270) 982-4776

Hospital & facility affiliations

  • Baptist Health Lagrange Hospital, La Grange, KY, CCN 180138
  • Uofl Health - Shelbyville Hospital Hospital, Shelbyville, KY, CCN 180016
  • Carroll County Memorial Hospital Hospital, Carrollton, KY, CCN 181310

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
34317KYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
First You Medical Center PLLC Family Medicine CurrentSince Nov 1, 2002 Accepting new patients
First You Medical Center PLLC Family Medicine CurrentSince Jun 1, 2013 Accepting new patients
First Stop Urgent Care Center PSC Family Medicine PastSince Jun 9, 2004 Accepting new patients
Clarion Health and Wellness LLC Past Accepting new patients
Kentuckyone Health Medical Group, Inc. Family Medicine Past Accepting new patients
Doctors Office 2 U Past Accepting new patients

Locations

18 Alexander Ave
#1
Bedford, KY 40006
Phone (502) 255-0222

18 Alexander Ave
Unit 1
Bedford, KY 40006
Phone (502) 216-8464

151 E Broadway St
Eminence, KY 40019
Phone (502) 845-0005

1006 New Moody Ln
Lagrange, KY 40031
Phone (502) 222-0028

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 and National Provider Directory roles.

Hospital & facility affiliations 3

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": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1262822400000",
    "number": "1679599500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 473",
            "city": "LA GRANGE",
            "state": "KY",
            "postal_code": "400310473",
            "telephone_number": "502-693-2465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1006 NEW MOODY LN",
            "city": "LAGRANGE",
            "state": "KY",
            "postal_code": "400319122",
            "telephone_number": "502-222-0028",
            "fax_number": "502-222-0029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVE",
        "first_name": "KAMLESH",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-14",
        "last_updated": "2010-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "34317",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lagrange, KY

Sources for this page

Verify at the official NPI Registry.