Active NPI
Frederick Kelker Hilton Jr., M.D.
- Family Medicine Physician
- Lexington, KY
National Provider Identifier
1730105081
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 36182
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 37903705 | Other | KY | MEDICAID LAB GRP |
| CB5773 | Other | GA | RR MEDICARE GRP |
| 4000501 | Other | KY | MEDICARE LAB GRP |
| 64022791 | Medicaid | KY |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140813002372 | KY | Order and Referring Only - Family Practice | 7911124003 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 36182 | KY | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Lexington Clinic, PSC | Past | Accepting new patients | |
| New Lexington Clinic PSC | Past | Accepting new patients | |
| Mercer Medical Associates PSC | Family Medicine | Past | Accepting new patients |
Interoperability endpoints
- 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.
-
- Family Medicine Physician
- Harrodsburg, KY
- NPI 1013106186
-
- Clinical Medical Laboratory
- Lexington, KY
- NPI 1285409425
-
- Urgent Care Clinic/Center
- Lexington, KY
- NPI 1275639742
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.