Individual provider Active NPI

Sam Gbutue Vorkpor, MD

  • Family Medicine Physician
  • Manchester, KY
National Provider Identifier
1700076874
Registry record updated Oct 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0101243487 Issued in VA
Practice address
509 Memorial Dr Ste 2
Manchester, KY 40962-6196
Phone
(606) 598-8813
NPI assigned
Jul 25, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2013

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 0101243487 VA Primary

Addresses

Primary practice location

509 Memorial Dr Ste 2
Manchester, KY 40962-6196

Mailing address

509 Memorial Dr Ste 2
Manchester, KY 40962-6196
Phone (606) 598-8813

Other identifiers 1

IdentifierTypeStateIssuer
7100054150MedicaidKY

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
I20120411000555 KY Practitioner - Emergency Medicine 0345301008 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Empact Midwest LLCGroup PAC ID 9436577517, 25 clinicians
Memorial Hospital, Inc.Group PAC ID 4486616141, shared by 9 NPIs, 60 clinicians

Practice addresses (Care Compare)

217 S 3Rd St
Danville, KY 40422-1823
Phone (859) 239-1000

56 Marie Langdon Dr
Manchester, KY 40962-6329
Phone (606) 599-4080

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
98.63 of 100Reported as group
Quality
81.08
Promoting interoperability
100
Improvement activities
40
Cost
81

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Empact Midwest LLC CurrentSince Oct 1, 2023 Accepting new patients
Memorial Hospital Inc. Family Medicine CurrentSince Jun 17, 2013 Accepting new patients
Williamson Emergency Physicians LLC CurrentSince Mar 1, 2012 Accepting new patients
Memorial Hospital, Inc. Current Accepting new patients
Western Healthcare Services Kentucky LLC CurrentSince Nov 6, 2023 Accepting new patients
Combs Mountain Emergency Group, LLC CurrentSince Mar 5, 2020 Accepting new patients
Southern Medical Partners, LLC CurrentSince Apr 8, 2012 Accepting new patients
Memorial Hospital Inc CurrentSince Jun 17, 2013 Accepting new patients
United Emergency Services, Inc. Past Accepting new patients
Wellmont Physician Services Inc Family Medicine Past Accepting new patients
Emergency Coverage, LLC Family Medicine Past Accepting new patients
Emergency Coverage Services, PC Past Accepting new patients

Locations

309 11th St
Carrollton, KY 41008
Phone (502) 732-3241

217 S 3rd St
Danville, KY 40422
Phone (859) 239-1000

464 Linden Ave
Harrodsburg, KY 40330
Phone (859) 734-5441

540 Jett Dr
Jackson, KY 41339
Phone (606) 666-4971

509 Memorial Dr
Ste 2
Manchester, KY 40962
Phone (606) 598-4384

210 Marie Langdon Dr
Manchester, KY 40962
Phone (865) 985-7047

1033 N Highway 11
Manchester, KY 40962
Phone (606) 598-6163

625 James Trimble Blvd
Paintsville, KY 41240

850 Riverview Ave
Pineville, KY 40977
Phone (606) 337-3051

260 Hospital Dr
South Williamson, KY 41503
Phone (606) 237-1700

110 Metker Trl
Stanford, KY 40484
Phone (606) 365-3360

Interoperability endpoints

  • Direct secure messaging: svorkpor659555@adventhealth.direct-ci.com
  • Direct secure messaging: svorkpor@yourcarecommunity.org

Organizations & group practices 12

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 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": "1185321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383004800000",
    "number": "1700076874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 MEMORIAL DR STE 2",
            "city": "MANCHESTER",
            "state": "KY",
            "postal_code": "409626196",
            "telephone_number": "606-598-8813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 MEMORIAL DR STE 2",
            "city": "MANCHESTER",
            "state": "KY",
            "postal_code": "409626196",
            "telephone_number": "606-598-8813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VORKPOR",
        "first_name": "SAM",
        "middle_name": "GBUTUE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-25",
        "last_updated": "2013-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101243487",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100054150",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Manchester, KY

Sources for this page

Verify at the official NPI Registry.