Active NPI
Kishore Jadhav, MD
- Internal Medicine Physician
- Manchester, KY
National Provider Identifier
1689687691
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 33372
- Practice address
- 94 Marie Langdon Dr
Ste 2
Manchester, KY 40962-6353 - Phone
- (606) 599-0200
- Fax
- (606) 599-0202
- NPI assigned
- Aug 14, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 33372 | KY | Primary |
Addresses
Primary practice location
94 Marie Langdon Dr
Ste 2
Manchester, KY 40962-6353
Mailing address
151 N Eagle Creek Dr
Ste 100
Lexington, KY 40509-1889
Phone (859) 263-4341
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 64333727 | Medicaid | KY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bluegrass Rural Health Clinic, PSC | Internal Medicine | Past | Accepting new patients |
| Kishore Internal Medicine, PSC | Internal Medicine | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Internal Medicine Physician
- Manchester, KY
- NPI 1912162959
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155513600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1689687691",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "151 N EAGLE CREEK DR",
"address_2": "STE 100",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405091889",
"telephone_number": "859-263-4341",
"fax_number": "859-263-7441"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "94 MARIE LANGDON DR",
"address_2": "STE 2",
"city": "MANCHESTER",
"state": "KY",
"postal_code": "409626353",
"telephone_number": "606-599-0200",
"fax_number": "606-599-0202"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JADHAV",
"first_name": "KISHORE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-14",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "KY",
"license": "33372",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "64333727",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Manchester, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.