Individual provider Active NPI

Dennis U Anciro, MD

  • Addiction Medicine (Family Medicine) Physician
  • Somerset, KY
National Provider Identifier
1689683658
Registry record updated Dec 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Family Medicine) PhysicianTaxonomy code 207QA0401X
License
36694 Issued in KY
Practice address
754 S Hwy 27
Somerset, KY 42501
Phone
(606) 677-6787
Fax
(606) 451-0035
NPI assigned
Aug 7, 2006
Last updated
Dec 5, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 36694 KY
Addiction Medicine (Family Medicine) Physician 207QA0401X 36694 KY Primary

Addresses

Primary practice location

754 S Hwy 27
Somerset, KY 42501

Mailing address

PO Box 997
Somerset, KY 42502
Phone (606) 677-6787

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, IN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20040409000143 KY Practitioner - Family Practice 7315931730 Reassigns benefits to 2 organizations
I20250108002220 IN Practitioner - Family Practice 7315931730 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baptist Health Medical Group IncGroup PAC ID 5597867184, shared by 31 NPIs, 2,431 clinicians

Practice addresses (Care Compare)

754 S Hwy 27
Somerset, KY 42501-3509
Phone (606) 677-6787

800 Highlander Point Dr
Suite 103
Floyds Knobs, IN 47119-9465
Phone (812) 542-4921

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.29 of 100Reported as apm
Quality
87.32
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
36694KYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Health Medical Group Inc Family Medicine CurrentSince Oct 1, 2020 Accepting new patients
Baptist Health Medical Group Inc CurrentSince May 26, 2020 Accepting new patients
Baptist Health Medical Group Inc Current Accepting new patients
Baptist Health Medical Group Inc CurrentSince May 26, 2020 Accepting new patients
Scott County Medical Clinic Inc Past Accepting new patients

Locations

800 Highlander Point Dr
Ste 103
Floyds Knobs, IN 47119
Phone (800) 434-5482

1373 N State Road 62
Madison, IN 47250
Phone (812) 801-0196

5130 Charlestown Rd
Ste 2
New Albany, IN 47150
Phone (812) 949-1577

1 Trillium Way
Corbin, KY 40701
Phone (606) 523-8521

96 Future Dr
Corbin, KY 40701

4071 Tates Creek Centre Dr
Ste 202
Lexington, KY 40517
Phone (859) 260-4390

1901 Campus Pl
Louisville, KY 40299
Phone (502) 253-4911

3900 Kresge Way
Ste 41
Louisville, KY 40207
Phone (502) 896-1313

754 S Highway 27
Somerset, KY 42501
Phone (606) 305-2516

Interoperability endpoints

  • Direct secure messaging: danciro28356@bhkydirect.com
  • Direct secure messaging: dranciro@19d303e1.micromddirect.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1154908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575504000000",
    "number": "1689683658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 997",
            "city": "SOMERSET",
            "state": "KY",
            "postal_code": "42502",
            "telephone_number": "606-677-6787",
            "fax_number": "606-451-0035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "754 S HWY 27",
            "city": "SOMERSET",
            "state": "KY",
            "postal_code": "42501",
            "telephone_number": "606-677-6787",
            "fax_number": "606-451-0035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANCIRO",
        "first_name": "DENNIS",
        "middle_name": "U",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-07",
        "last_updated": "2019-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "36694",
            "primary": false
        },
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "KY",
            "license": "36694",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Somerset, KY

Sources for this page

Verify at the official NPI Registry.