NPIMap

Individual provider Active NPI

Joel Dean Eade, MD

  • Internal Medicine Physician
  • Campbellsville, KY
National Provider Identifier
1699772335
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
22151 Issued in KY
Practice address
95 Kingswood Dr
Campbellsville, KY 42718-9604
Phone
(270) 465-3812
Fax
(270) 465-8352
NPI assigned
Jul 7, 2005
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 22151 KY Primary

Addresses

Primary practice location

95 Kingswood Dr
Campbellsville, KY 42718-9604

Mailing address

95 Kingswood Dr
Campbellsville, KY 42718-9604
Phone (270) 465-3812

Other identifiers 3

IdentifierTypeStateIssuer
0989814OtherMEDICARE HOSPITAL
000000049741OtherKYBC/BS
64221518MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090209000162 KY Practitioner - Internal Medicine 1052403417 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Louisville School of Medicine, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Taylor Regional Medical Group LLCGroup PAC ID 4880616622, shared by 4 NPIs, 60 clinicians

Practice addresses (Care Compare)

111 Kingswood Dr
Campbellsville, KY 42718-9634
Phone (270) 789-5822

1700 Old Lebanon Rd
Campbellsville, KY 42718-9615
Phone (270) 465-3561

1700 Old Lebanon Rd
Campbellsville, KY 42718-9662
Phone (270) 789-6116

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
73.96 of 100Reported as group
Quality
62.41
Promoting interoperability
69
Improvement activities
40
Cost
71.3

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
22151KYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Taylor Regional Medical Group,LLC Current Accepting new patients
Taylor County Hospital District Health Facilities Corporation CurrentSince Sep 22, 1993 Accepting new patients
Taylor Regional Medical Group CurrentSince Feb 9, 2009 Accepting new patients
Taylor Regional Medical Group, LLC CurrentSince Jul 1, 2015 Accepting new patients
Taylor County Hospital District Health Facilities Corporation CurrentSince Sep 22, 1993 Accepting new patients

Locations

111 Kingswood Dr
Campbellsville, KY 42718
Phone (270) 789-5822

1698 Old Lebanon Rd
Campbellsvlle, KY 42718
Phone (270) 465-3561

1700 Old Lebanon Rd
Campbellsvlle, KY 42718
Phone (270) 465-3561

67 Kingswood Dr
Campbellsvlle, KY 42718
Phone (270) 465-2116

95 Kingswood Dr
Campbellsvlle, KY 42718
Phone (270) 465-3812

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 26

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 26

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1699772335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95 KINGSWOOD DR",
            "city": "CAMPBELLSVILLE",
            "state": "KY",
            "postal_code": "427189604",
            "telephone_number": "270-465-3812",
            "fax_number": "270-465-8352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95 KINGSWOOD DR",
            "city": "CAMPBELLSVILLE",
            "state": "KY",
            "postal_code": "427189604",
            "telephone_number": "270-465-3812",
            "fax_number": "270-465-8352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EADE",
        "first_name": "JOEL",
        "middle_name": "DEAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-07",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KY",
            "license": "22151",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE HOSPITAL",
            "identifier": "0989814",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "000000049741",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64221518",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Campbellsville, KY

Sources for this page

Verify at the official NPI Registry.