Individual provider Active NPI

Susan M. Monohan, M.D.

  • Internal Medicine Physician
  • Lexington, KY
National Provider Identifier
1700819729
Registry record updated Mar 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
38363 Issued in KY
Practice address
1775 Alysheba Way
Suite 201
Lexington, KY 40509-9023
Phone
(859) 278-5007
Fax
(859) 278-6867
NPI assigned
Jul 10, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 38363 KY Primary
Pediatrics Physician 208000000X 38363 KY

Addresses

Primary practice location

1775 Alysheba Way
Suite 201
Lexington, KY 40509-9023

Mailing address

1775 Alysheba Way
Suite 201
Lexington, KY 40509-9023
Phone (859) 278-5007

Other identifiers 1

IdentifierTypeStateIssuer
64086952MedicaidKY

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
I20040907000318 KY Practitioner - Internal MedicinePractitioner - Pediatric Medicine 0547236002 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Pediatric Medicine
Education
University of Kentucky College of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
H2 Rehabilitation Services of Kentucky, LLCGroup PAC ID 5799682688, shared by 7 NPIs, 187 clinicians
Family Practice Associates of Lexington PSCGroup PAC ID 0749275022, 21 clinicians

Practice addresses (Care Compare)

116 Meridian Way
Suite 9
Richmond, KY 40475-2876
Phone (859) 623-6334

1775 Alysheba Way
Suite 201
Lexington, KY 40509-2381
Phone (859) 977-2120

Hospital & facility affiliations

  • Commonwealth Home Health Home health agency, Lexington, KY, CCN 187109
  • Baptist Health Lexington Hospital, Lexington, KY, CCN 180103
  • Saint Joseph East Hospital, Lexington, KY, CCN 180143
  • University of Kentucky Hospital Hospital, Lexington, KY, CCN 180067

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Family Practice Associates of Lexington PSC Internal Medicine CurrentSince Jan 1, 2011 Accepting new patients

Locations

1775 Alysheba Way
Ste 201
Lexington, KY 40509
Phone (606) 278-5007

615 E Brannon Rd
Ste 100
Nicholasville, KY 40356
Phone (859) 278-5007

Interoperability endpoints

  • Direct secure messaging: susanmonohan@fpal.allscriptsdirect.net

Organizations & group practices 1

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 4

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": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426204800000",
    "number": "1700819729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1775 ALYSHEBA WAY",
            "address_2": "SUITE 201",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405099023",
            "telephone_number": "859-278-5007",
            "fax_number": "859-278-6867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1775 ALYSHEBA WAY",
            "address_2": "SUITE 201",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405099023",
            "telephone_number": "859-278-5007",
            "fax_number": "859-278-6867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONOHAN",
        "first_name": "SUSAN",
        "middle_name": "M.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-10",
        "last_updated": "2015-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KY",
            "license": "38363",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "KY",
            "license": "38363",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64086952",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

Verify at the official NPI Registry.