NPIMap

Individual provider Active NPI

Samuel Thompson, MD

  • Internal Medicine Physician
  • Paducah, KY
National Provider Identifier
1710483516
Registry record updated Sep 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
55399 Issued in KY
Practice address
2425 New Holt Rd
Paducah, KY 42001-7455
Phone
(270) 441-4850
Fax
(270) 441-4666
NPI assigned
Apr 2, 2018
Last updated
Sep 15, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2026

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 55399 KY Primary

Addresses

Primary practice location

2425 New Holt Rd
Paducah, KY 42001-7455

Mailing address

2425 New Holt Road
Paducah, KY 42001-0001
Phone (270) 441-4850

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
I20210923003262 KY Practitioner - Family PracticePractitioner - Internal Medicine 4880922129 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Internal Medicine
Education
University of Kentucky College of Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
James N Eickholz MD PSCGroup PAC ID 1951601129, 4 clinicians

Practice addresses (Care Compare)

2425 New Holt Rd
Paducah, KY 42001-7455
Phone (270) 441-4850

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
James N Eickholz MD PSC CurrentSince Aug 1, 2021 Accepting new patients
Uk Healthcare Past Accepting new patients

Locations

2425 New Holt Rd
Paducah, KY 42001
Phone (270) 441-4850

Interoperability endpoints

  • Direct secure messaging: samuel.thompson.1@28719.direct.athenahealth.com
  • Direct secure messaging: sthompson20570@ukhcdirect.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 11

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": "1522627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789430400000",
    "number": "1710483516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2425 NEW HOLT ROAD",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420010001",
            "telephone_number": "270-441-4850",
            "fax_number": "270-441-4666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2425 NEW HOLT RD",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420017455",
            "telephone_number": "270-441-4850",
            "fax_number": "270-441-4666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "SAMUEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-02",
        "last_updated": "2026-09-15",
        "certification_date": "2026-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KY",
            "license": "55399",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paducah, KY

Sources for this page

Verify at the official NPI Registry.