Individual provider Active NPI

Maurice Michael Trivette, M.D.

  • Family Medicine Physician
  • Pikeville, KY
National Provider Identifier
1730264011
Registry record updated May 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
31261 Issued in KY
Practice address
9783 Meta Hwy
Pikeville, KY 41501-4747
Phone
(606) 631-0057
NPI assigned
Oct 26, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 29, 2008

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 31261 KY Primary

Addresses

Primary practice location

9783 Meta Hwy
Pikeville, KY 41501-4747

Mailing address

9783 Meta Hwy
Pikeville, KY 41501-4747
Phone (606) 631-0057

Other identifiers 1

IdentifierTypeStateIssuer
64312614MedicaidKY

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
I20110914000856 KY Practitioner - Family PracticePractitioner - General Practice 7618148008 Practice locations: Pikeville, KY

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Trivette Family Care Family Medicine PastSince Sep 5, 1995 Accepting new patients
Baker Direct Medical Care LLC Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212019200000",
    "number": "1730264011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9783 META HWY",
            "city": "PIKEVILLE",
            "state": "KY",
            "postal_code": "415014747",
            "telephone_number": "606-631-0057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9783 META HWY",
            "city": "PIKEVILLE",
            "state": "KY",
            "postal_code": "415014747",
            "telephone_number": "606-631-0057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRIVETTE",
        "first_name": "MAURICE",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-26",
        "last_updated": "2008-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "31261",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64312614",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pikeville, KY

Sources for this page

Verify at the official NPI Registry.