Individual provider Active NPI

Ashok S Kanthawar, M.D.

  • Gastroenterology Physician
  • Shelbyville, KY
National Provider Identifier
1750350260
Registry record updated Feb 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
37920 Issued in KY
Practice address
720 Hospital Dr Ste 201
Shelbyville, KY 40065-1798
Phone
(502) 895-8970
NPI assigned
Mar 16, 2006
Last updated
Feb 8, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 37920 KY Primary

Addresses

Primary practice location

720 Hospital Dr Ste 201
Shelbyville, KY 40065-1798

Mailing address

PO Box 909
Louisville, KY 40201-0909
Phone (502) 895-8970

Other practice location 1

1360 W 5th St
London, KY 40741-1615
Phone (606) 877-1575

Other identifiers 3

IdentifierTypeStateIssuer
000000328132OtherKYBLUE CROSS BLUE SHIELD
P00207641OtherKYRAILROAD MEDICARE
64050925MedicaidKY

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
I20040603000388 KY Practitioner - GastroenterologyPractitioner - Internal Medicine 5294717252 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

720 Hospital Dr
Suite 206
Shelbyville, KY 40065-1759
Phone (502) 647-5580

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
78.96 of 100Reported as group
Quality
56.12
Promoting interoperability
100
Improvement activities
40
Cost
73.73

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy52
Upper gastrointestinal (GI) endoscopy for acid reflux41

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
37920KYMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Louisville Physicians, Inc. CurrentSince Mar 1, 2024 Accepting new patients
University of Louisville Physicians, Inc. Current Accepting new patients
University of Louisville Physicians, Inc. Gastroenterology CurrentSince Mar 1, 2024 Accepting new patients
Digestive Specialists Inc Gastroenterology Past Accepting new patients
Premier Heart Associates, Inc Past Accepting new patients
University of Louisville Physicians, Inc. Past Accepting new patients
Anand PSC Gastroenterology Past Accepting new patients

Locations

7752 Solution Ctr
Chicago, IL 60677

1210 W 5th St
London, KY 40741
Phone (606) 864-4030

571 S Floyd St
Louisville, KY 40202
Phone (502) 561-2700

720 Hospital Dr
Ste 100
Shelbyville, KY 40065

720 Hospital Dr
Ste 201
Shelbyville, KY 40065

720 Hospital Dr
Ste 206
Shelbyville, KY 40065
Phone (502) 647-5580

Organizations & group practices 7

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.

Hospital & facility affiliations 23

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1142467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707350400000",
    "number": "1750350260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 909",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402010909",
            "telephone_number": "502-895-8970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 HOSPITAL DR STE 201",
            "city": "SHELBYVILLE",
            "state": "KY",
            "postal_code": "400651798",
            "telephone_number": "502-895-8970"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1360 W 5th St",
            "address_purpose": "LOCATION",
            "city": "London",
            "state": "KY",
            "postal_code": "407411615",
            "country_code": "US",
            "telephone_number": "606-877-1575",
            "fax_number": "606-877-1582",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KANTHAWAR",
        "first_name": "ASHOK",
        "middle_name": "S",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-16",
        "last_updated": "2024-02-08",
        "certification_date": "2024-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "KY",
            "license": "37920",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "000000328132",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00207641",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64050925",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Shelbyville, KY

Sources for this page

Verify at the official NPI Registry.