Individual provider Active NPI

Vernon H Humbert Jr., M.D.

  • Cardiovascular Disease Physician
  • Henderson, KY
National Provider Identifier
1740269679
Registry record updated Feb 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
01038632 Issued in IN
Practice address
1305 N Elm St
Suite C
Henderson, KY 42420-2783
Phone
(270) 830-4756
Fax
(270) 830-4738
NPI assigned
Jan 10, 2006
Last updated
Feb 17, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 01038632 IN Primary

Addresses

Primary practice location

1305 N Elm St
Suite C
Henderson, KY 42420-2783

Mailing address

1305 N Elm St
Suite C
Henderson, KY 42420-2783
Phone (270) 830-4756

Other identifiers 2

IdentifierTypeStateIssuer
64170673MedicaidKY
100102490MedicaidIN

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
I20090528000093 KY Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 3173588860 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Methodist Health, Inc. Cardiovascular Disease CurrentSince Oct 1, 2013 Accepting new patients
The Heart Hospital at Deaconess Gateway, LLC Past Accepting new patients

Locations

1305 N Elm St
Henderson, KY 42420
Phone (270) 827-7100

1305 N Elm St
Ste A
Henderson, KY 42420
Phone (270) 831-7937

1305 N Elm St
Ste B
Henderson, KY 42420
Phone (270) 827-7193

1305 N Elm St
Ste C
Henderson, KY 42420
Phone (270) 827-5657

1413 N Elm St
Ste 106
Henderson, KY 42420
Phone (270) 827-0064

1413 N Elm St
Ste 204
Henderson, KY 42420
Phone (270) 830-9973

4604 US Highway 60 W
Morganfield, KY 42437
Phone (270) 389-5000

Interoperability endpoints

  • Direct secure messaging: vhumbert25310@direct.deaconess.com

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

NPI Registry JSON

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

{
    "created_epoch": "1136851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424131200000",
    "number": "1740269679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1305 N ELM ST",
            "address_2": "SUITE C",
            "city": "HENDERSON",
            "state": "KY",
            "postal_code": "424202783",
            "telephone_number": "270-830-4756",
            "fax_number": "270-830-4738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1305 N ELM ST",
            "address_2": "SUITE C",
            "city": "HENDERSON",
            "state": "KY",
            "postal_code": "424202783",
            "telephone_number": "270-830-4756",
            "fax_number": "270-830-4738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUMBERT",
        "first_name": "VERNON",
        "middle_name": "H",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-10",
        "last_updated": "2015-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "IN",
            "license": "01038632",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64170673",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100102490",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, KY

Sources for this page

Verify at the official NPI Registry.