Individual provider Active NPI

Daniel B Crump, M.D.

  • Dermatopathology (Pathology) Physician
  • Lexington, KY
National Provider Identifier
1750374955
Registry record updated Feb 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatopathology (Pathology) PhysicianTaxonomy code 207ZD0900X
License
34874 Issued in KY
Practice address
800 Rose St # Ms 119
Lexington, KY 40536-2701
Phone
(859) 257-1446
Fax
(859) 257-7572
NPI assigned
Aug 24, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 34874 KY
Dermatopathology (Pathology) Physician 207ZD0900X 34874 KY Primary

Addresses

Primary practice location

800 Rose St # Ms 119
Lexington, KY 40536-2701

Mailing address

1221 S Broadway
Lexington, KY 40504-2701
Phone (859) 258-4000

Other practice location 1

1221 S Broadway
Lexington, KY 40504-2701
Phone (859) 258-4000

Other identifiers 5

IdentifierTypeStateIssuer
4000501OtherKYMEDICARE LAB GROUP
CB5773OtherKYRR MEDICARE GROUP NUMBER
7100022670MedicaidKY
P00422199OtherKYRR MEDICARE NUMBER
37903705OtherKYMEDICAID LAB GROUP

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, DC, VA, MD4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20070724000000 KY Practitioner - Pathology 1153351366 Reassigns benefits to 3 organizations
I20200302001708 DC Practitioner - Pathology 1153351366 Reassigns benefits to 1 organization
I20200417002138 VA Practitioner - Pathology 1153351366
I20200422000077 MD Practitioner - Pathology 1153351366 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Vanderbilt University School of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Privia Medical Group, LLCGroup PAC ID 4385682061, 1,522 clinicians
New Lexington Clinic PSCGroup PAC ID 3476457532, 329 clinicians

Practice addresses (Care Compare)

1201 Seven Locks Rd
111 PMG_Rimg_Rockville Office'
Rockville, MD 20854-2957
Phone (301) 762-5020

1221 S Broadway
Lexington, KY 40504-2701
Phone (859) 258-4000

3510 Old Washington Rd
Suite 201
Waldorf, MD 20602-3235
Phone (301) 645-8035

9470 Annapolis Rd
Suite 309
Lanham, MD 20706-3022
Phone (202) 832-1800

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
New Lexington Clinic, PSC CurrentSince Jul 5, 2007 Accepting new patients
New Lexington Clinic PSC CurrentSince Jul 5, 2007 Accepting new patients
University of Kentucky CurrentSince Mar 8, 2019 Accepting new patients
Privia Medical Group, LLC CurrentSince Jan 19, 2020 Accepting new patients
St Claire Medical Center, Inc., Anatomic Pathology & Clinical Pathology CurrentSince Jun 1, 2019 Accepting new patients
St Claire Medical Center, Inc CurrentSince Jun 1, 2019 Accepting new patients
Privia Medical Group, LLC CurrentSince Jan 19, 2020 Accepting new patients

Locations

2400 Greatstone Pt
Lexington, KY 40504
Phone (859) 257-9800

740 S Limestone
Lexington, KY 40536
Phone (859) 257-3533

800 Rose St
Lexington, KY 40536
Phone (859) 257-8562

1221 S Broadway
Lexington, KY 40504
Phone (859) 258-4181

800 Rose St
#119
Lexington, KY 40536
Phone (859) 257-1446

222 Medical Cir
Morehead, KY 40351
Phone (606) 783-6455

9470 Annapolis Rd
Ste 309
Lanham, MD 20706
Phone (202) 832-1800

Organizations & group practices 8

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": "1124841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550620800000",
    "number": "1750374955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1221 S BROADWAY",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405042701",
            "telephone_number": "859-258-4000",
            "fax_number": "859-258-4796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 ROSE ST # MS 119",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405362701",
            "telephone_number": "859-257-1446",
            "fax_number": "859-257-7572"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1221 S Broadway",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "KY",
            "postal_code": "405042701",
            "country_code": "US",
            "telephone_number": "859-258-4000",
            "fax_number": "859-258-4796",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CRUMP",
        "first_name": "DANIEL",
        "middle_name": "B",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-24",
        "last_updated": "2019-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "KY",
            "license": "34874",
            "primary": false
        },
        {
            "code": "207ZD0900X",
            "taxonomy_group": "",
            "desc": "Pathology, Dermatopathology",
            "state": "KY",
            "license": "34874",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE LAB GROUP",
            "identifier": "4000501",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE GROUP NUMBER",
            "identifier": "CB5773",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100022670",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE NUMBER",
            "identifier": "P00422199",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID LAB GROUP",
            "identifier": "37903705",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

Verify at the official NPI Registry.