NPIMap

Individual provider Active NPI

Heather Patricia Lusby, D.O.

  • Infectious Disease Physician
  • Bowling Green, KY
National Provider Identifier
1720430705
Registry record updated May 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
04911 Issued in KY
Practice address
800 Park St
Bowling Green, KY 42101-2347
Phone
(270) 745-1000
NPI assigned
Jul 1, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 10, 2021

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 T-3157 MS
Infectious Disease Physician 207RI0200X 04911 KY Primary

Addresses

Primary practice location

800 Park St
Bowling Green, KY 42101-2347

Mailing address

800 Park St
Bowling Green, KY 42101-2347
Phone (270) 745-1000

Other practice location 1

611 Alcorn Dr
Corinth, MS 38834-9321
Phone (662) 293-7686

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
I20210812002838 KY Practitioner - Infectious DiseasePractitioner - Internal Medicine 9537592035 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Infectious DiseaseAlso: Internal Medicine
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Commonwealth Health Corporation, Inc.Group PAC ID 5496667628, 268 clinicians

Practice addresses (Care Compare)

720 2ND Ave
Suite 307
Bowling Green, KY 42101-1718
Phone (270) 780-2760

Hospital & facility affiliations

  • The Medical Center Home Care Program Home health agency, Bowling Green, KY, CCN 187044
  • The Medical Center (Bowling Green) Hospital, Bowling Green, KY, CCN 180013
  • T J Samson Community Hospital Hospital, Glasgow, KY, CCN 180017
  • The Medical Center at Scottsville Hospital, Scottsville, KY, CCN 181324
  • The Medical Center at Franklin Hospital, Franklin, KY, CCN 181318
  • Caverna Memorial Hospital Hospital, Horse Cave, KY, CCN 181314

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
T-3157MSMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Commonwealth Health Corporation, Inc. CurrentSince Jul 1, 2021 Accepting new patients
Commonwealth Health Corporation, Inc Current Accepting new patients
Commonwealth Health Corporation, Inc. Infectious Disease CurrentSince Jul 1, 2021 Accepting new patients
Commonwealth Health Corporation Past Accepting new patients

Locations

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

720 2nd Ave
Ste 307
Bowling Green, KY 42101

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

Interoperability endpoints

  • Direct secure messaging: hlusby425791@direct.shands.ufl.edu

Organizations & group practices 4

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 7

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": "1467331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620604800000",
    "number": "1720430705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 PARK ST",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421012347",
            "telephone_number": "270-745-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 PARK ST",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421012347",
            "telephone_number": "270-745-1000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "611 Alcorn Dr",
            "address_purpose": "LOCATION",
            "city": "Corinth",
            "state": "MS",
            "postal_code": "388349321",
            "country_code": "US",
            "telephone_number": "662-293-7686",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LUSBY",
        "first_name": "HEATHER",
        "middle_name": "PATRICIA",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-01",
        "last_updated": "2021-05-10",
        "certification_date": "2021-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MS",
            "license": "T-3157",
            "primary": false
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "KY",
            "license": "04911",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bowling Green, KY

Sources for this page

Verify at the official NPI Registry.