Individual provider Active NPI

Anita J Fleenor-Ford, M.D.

  • Infectious Disease Physician
  • Paducah, KY
National Provider Identifier
1740284348
Registry record updated Aug 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
34325 Issued in KY
Practice address
1903 Broadway
Paducah, KY 42001-7105
Phone
(270) 444-9889
Fax
(270) 444-9291
NPI assigned
Jun 10, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X 34325 KY Primary

Addresses

Primary practice location

1903 Broadway
Paducah, KY 42001-7105

Mailing address

1903 Broadway
Paducah, KY 42001-7105
Phone (270) 444-9889

Other identifiers 4

IdentifierTypeStateIssuer
0360929991MedicaidIL
34325OtherKYKY STATE LIC.
64343254MedicaidKY
000000282527OtherKYANTHEM BCBS

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
I20101022000009 KY Practitioner - Infectious Disease 8123097326 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Infectious Disease
Education
University of Louisville School of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Livwell Community Health Services, Inc.Group PAC ID 0244206712, 4 clinicians
Baptist Health Medical Group IncGroup PAC ID 5597867184, 2,431 clinicians

Practice addresses (Care Compare)

1903 Broadway St
Paducah, KY 42001-7105
Phone (270) 444-8183

1920 Broadway St
Paducah, KY 42001-7106
Phone (270) 442-3647

Hospital & facility affiliations

  • Baptist Health Paducah Hospital, Paducah, KY, CCN 180104
  • Mercy Health - Lourdes Hospital Hospital, Paducah, KY, CCN 180102
  • Herrin Hospital Hospital, Herrin, IL, CCN 140011

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
84.31
Improvement activities
40
Cost
100

Merit-based Incentive Payment System (MIPS)

Final score
94.29 of 100Reported as apm
Quality
87.32
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
34325KYMDInfectious Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Health Medical Group Inc CurrentSince Jun 1, 2023 Accepting new patients
Livwell Community Health Services, Inc. Infectious Disease CurrentSince Jan 1, 2001 Accepting new patients
Baptist Health Medical Group Inc Current Accepting new patients
Baptist Health Medical Group Inc CurrentSince Jun 1, 2023 Accepting new patients
Purchase Derm-ENT, PLLC Past Accepting new patients

Locations

415 Health Department Rd
Murphysboro, IL 62966
Phone (618) 684-3143

1903 Broadway St
Paducah, KY 42001
Phone (270) 442-1671

2601 Kentucky Ave
Ste 404
Paducah, KY 42003
Phone (270) 444-9889

2605 Kentucky Ave
Ste 601
Paducah, KY 42003
Phone (270) 408-3238

2603 Kentucky Ave
Ste 304
Paducah, KY 42003
Phone (270) 415-4800

1920 Broadway St
Paducah, KY 42001
Phone (270) 442-3647

Organizations & group practices 5

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 4

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": "1118361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565308800000",
    "number": "1740284348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1903 BROADWAY",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420017105",
            "telephone_number": "270-444-9889",
            "fax_number": "270-444-9291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1903 BROADWAY",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420017105",
            "telephone_number": "270-444-9889",
            "fax_number": "270-444-9291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLEENOR-FORD",
        "first_name": "ANITA",
        "middle_name": "J",
        "name_prefix": "Mrs.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-10",
        "last_updated": "2019-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "KY",
            "license": "34325",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0360929991",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KY STATE LIC.",
            "identifier": "34325",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64343254",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "000000282527",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Paducah, KY

Sources for this page

Verify at the official NPI Registry.