NPIMap

Individual provider Active NPI

Tracy Glenn Cross, M.D.

  • Surgery Physician
  • Albany, KY
National Provider Identifier
1699778423
Registry record updated Dec 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
33185 Issued in KY
Practice address
250 Burkesville Rd
Albany, KY 42602-1604
Phone
(606) 387-3000
Fax
(606) 387-3307
NPI assigned
May 24, 2005
Last updated
Dec 21, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 21, 2021

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 33185 KY
Emergency Medicine Physician 207P00000X 33185 KY
Internal Medicine Physician 207R00000X 33185 KY
Surgery Physician 208600000X 33185 KY Primary
Hospitalist Physician 208M00000X 33185 KY

Addresses

Primary practice location

250 Burkesville Rd
Albany, KY 42602-1604

Mailing address

250 Burkesville Rd
Albany, KY 42602-1604
Phone (606) 387-3000

Other identifiers 1

IdentifierTypeStateIssuer
64033525MedicaidKY

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
I20050720001115 KY Practitioner - General Surgery 0446287494 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of Louisville School of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1501 S Dixie St
Horse Cave, KY 42749-1480
Phone (270) 796-6540

250 Park St
Bowling Green, KY 42101-1760
Phone (270) 781-7178

252 Burkesville Rd
Albany, KY 42602-1604
Phone (606) 387-3000

350 Park St
Bowling Green, KY 42101-1784

401 S L Rogers Wells Blvd
Glasgow, KY 42141-1725
Phone (270) 261-5640

456 Burnley Rd
Scottsville, KY 42164-6355
Phone (270) 780-2760

466 Burnley Rd
Scottsville, KY 42164-6355
Phone (270) 780-2750

723 Burkesville Rd
Albany, KY 42602-1654
Phone (270) 782-0151

825 2ND Ave E
Suite C2
Bowling Green, KY 42101-1786

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy69
Hernia repair - groin (open)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux119
Melanoma (skin cancer) excision22
Removal of tissue15
Removal of skin lesions35
Removal of nail tissue1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
33185KYMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southeastern Physician Services PC Internal Medicine CurrentSince Sep 1, 2019 Accepting new patients
Commonwealth Health Corporation, Inc. CurrentSince May 1, 2017 Accepting new patients
Bowling Green-Warren County Community Hospital Corporation CurrentSince Jul 15, 2020 Accepting new patients
Commonwealth Health Corporation, Inc. CurrentSince May 1, 2017 Accepting new patients
Southeastern Emergency Physicians LLC Emergency Medicine CurrentSince Sep 1, 2019 Accepting new patients
Bowling Green-Warren County Community Hospital Corporation Current Accepting new patients
Kentucky Post-Acute Medical Services 1 PSC Hospitalist CurrentSince Jul 9, 2020 Accepting new patients
Commonwealth Health Corporation, Inc Current Accepting new patients
Bowling Green-Warren County Community Hospital Corporation CurrentSince Jul 15, 2020 Accepting new patients
Bowling Green-Warren County Community Hospital Corporation PastSince Jan 1, 2024 Accepting new patients
Commonwealth Health Corporation Past Accepting new patients

Locations

252 Burkesville Rd
Albany, KY 42602
Phone (606) 387-0323

723 Burkesville Rd
Albany, KY 42602
Phone (606) 387-6421

250 Park St
Bowling Green, KY 42101
Phone (270) 745-1000

350 Park St
Ste 203
Bowling Green, KY 42101
Phone (270) 781-0075

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

401 S L Rogers Wells Blvd
Glasgow, KY 42141
Phone (270) 261-5640

1495 S Dixie St
Horse Cave, KY 42749
Phone (270) 786-2372

310 S Limestone
Lexington, KY 40508
Phone (606) 252-6612

1501 S Dixie St
Park, KY 42749
Phone (270) 786-2191

466 Burnley Rd
Scottsville, KY 42164
Phone (270) 237-3131

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 5

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": "1116892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640044800000",
    "number": "1699778423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 BURKESVILLE RD",
            "city": "ALBANY",
            "state": "KY",
            "postal_code": "426021604",
            "telephone_number": "606-387-3000",
            "fax_number": "606-387-3307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 BURKESVILLE RD",
            "city": "ALBANY",
            "state": "KY",
            "postal_code": "426021604",
            "telephone_number": "606-387-3000",
            "fax_number": "606-387-3307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROSS",
        "first_name": "TRACY",
        "middle_name": "GLENN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-05-24",
        "last_updated": "2021-12-21",
        "certification_date": "2021-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "KY",
            "license": "33185",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "KY",
            "license": "33185",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KY",
            "license": "33185",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "KY",
            "license": "33185",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "KY",
            "license": "33185",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64033525",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, KY

Sources for this page

Verify at the official NPI Registry.