Individual provider Active NPI

Frederick Kelker Hilton Jr., M.D.

  • Family Medicine Physician
  • Lexington, KY
National Provider Identifier
1730105081
Registry record updated Nov 2, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
36182 Issued in KY
Practice address
3061 Fieldstone Way
Suite 700
Lexington, KY 40513-1718
Phone
(859) 296-9900
Fax
(859) 296-9603
NPI assigned
Jul 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2007

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 36182 KY Primary

Addresses

Primary practice location

3061 Fieldstone Way
Suite 700
Lexington, KY 40513-1718

Mailing address

3061 Fieldstone Way
Suite 700
Lexington, KY 40513-1718
Phone (859) 296-9900

Other identifiers 4

IdentifierTypeStateIssuer
37903705OtherKYMEDICAID LAB GRP
CB5773OtherGARR MEDICARE GRP
4000501OtherKYMEDICARE LAB GRP
64022791MedicaidKY

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
I20140813002372 KY Order and Referring Only - Family PracticePractitioner - Family Practice 7911124003

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
36182KYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
New Lexington Clinic, PSC Past Accepting new patients
New Lexington Clinic PSC Past Accepting new patients
Mercer Medical Associates PSC Family Medicine PastSince Jun 1, 1999 Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/15515/brand/1/csg/1/fhir/r4

Organizations & group practices 3

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193961600000",
    "number": "1730105081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3061 FIELDSTONE WAY",
            "address_2": "SUITE 700",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405131718",
            "telephone_number": "859-296-9900",
            "fax_number": "859-296-9603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3061 FIELDSTONE WAY",
            "address_2": "SUITE 700",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405131718",
            "telephone_number": "859-296-9900",
            "fax_number": "859-296-9603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HILTON",
        "first_name": "FREDERICK",
        "middle_name": "KELKER",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-13",
        "last_updated": "2007-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "36182",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID LAB GRP",
            "identifier": "37903705",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE GRP",
            "identifier": "CB5773",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE LAB GRP",
            "identifier": "4000501",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64022791",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

Verify at the official NPI Registry.