NPIMap

Individual provider Active NPI

Plavakeerthi Kemparajurs, MD

  • Family Medicine Physician
  • La Grange, KY
National Provider Identifier
1750371969
Registry record updated Apr 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
25818 Issued in KY
Practice address
501 Parker PL Unit 200
La Grange, KY 40031-2229
Phone
(502) 222-7144
Fax
(502) 222-6159
NPI assigned
Oct 27, 2005
Last updated
Apr 1, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2024

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 25818 KY Primary

Addresses

Primary practice location

501 Parker PL Unit 200
La Grange, KY 40031-2229

Mailing address

PO Box 25
La Grange, KY 40031-0025
Phone (502) 222-7144

Other practice location 1

1025 New Moody Ln
LA Grange, KY 40031-9154
Phone (502) 222-5388

Other identifiers 3

IdentifierTypeStateIssuer
50005421OtherKYPASSPORT
64258189MedicaidKY
000000346538OtherKYANTHEM BCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041001000857 KY Practitioner - Family Practice 8628047008 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Baptist Health Medical Group IncGroup PAC ID 5597867184, 2,431 clinicians
PT Pros, IncGroup PAC ID 0143139337, shared by 14 NPIs, 263 clinicians
Lagrange Family Care Doctors P.S.C.Group PAC ID 1456320837, 2 clinicians

Practice addresses (Care Compare)

1025 New Moody LN
La Grange, KY 40031-9154
Phone (502) 222-3255

3900 Kresge Way
Louisville, KY 40207-4681

4031 N Dixie Hwy
Suite 104
Elizabethtown, KY 42701-7873
Phone (270) 982-4776

501 Parker PL
Unit 200
La Grange, KY 40031-2229
Phone (502) 222-7144

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lagrange Family Care Doctors P.S.C. Family Medicine CurrentSince Jan 1, 2005 Accepting new patients
Baptist Health Medical Group Inc CurrentSince Apr 2, 2018 Accepting new patients
Henry County Medical Center PSC Family Medicine Current Accepting new patients
Baptist Health Medical Group Inc CurrentSince Apr 2, 2018 Accepting new patients

Locations

1025 New Moody Ln
Lagrange, KY 40031
Phone (502) 222-3335

111 E Adams St
Lagrange, KY 40031
Phone (502) 222-7144

501 Parker Pl
Unit 200
Lagrange, KY 40031
Phone (502) 222-7144

3900 Kresge Way
Ste 41
Louisville, KY 40207
Phone (502) 896-1313

Interoperability endpoints

  • Direct secure messaging: plavakeerthikemparajurs@lgfcd.allscriptsdirect.net

Organizations & group practices 4

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 20

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

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1130371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711929600000",
    "number": "1750371969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 25",
            "city": "LA GRANGE",
            "state": "KY",
            "postal_code": "400310025",
            "telephone_number": "502-222-7144",
            "fax_number": "502-222-6159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 PARKER PL UNIT 200",
            "city": "LA GRANGE",
            "state": "KY",
            "postal_code": "400312229",
            "telephone_number": "502-222-7144",
            "fax_number": "502-222-6159"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1025 New Moody Ln",
            "address_purpose": "LOCATION",
            "city": "LA Grange",
            "state": "KY",
            "postal_code": "400319154",
            "country_code": "US",
            "telephone_number": "502-222-5388",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KEMPARAJURS",
        "first_name": "PLAVAKEERTHI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-27",
        "last_updated": "2024-04-01",
        "certification_date": "2024-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "25818",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PASSPORT",
            "identifier": "50005421",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64258189",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "000000346538",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in La Grange, KY

Sources for this page

Verify at the official NPI Registry.