Kentucky Cardiology, PLLC

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

KENTUCKY CARDIOLOGY, PLLC

Practice address

161 N Eagle Creek Dr
Ste 400
Lexington, KY 40509-9038

Phone

(859) 226-0031

Fax

(859) 226-0041

NPI assigned

Sep 26, 2006

Organization subpart

No

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

Authorized official

Name

Kimberly Novak

Title

Practice Manager

Phone

(859) 226-0031

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.523

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Avichai Eres, MD FACC FSCAI FSVM

  • Interventional Cardiology Physician
  • Lexington, KY
  • NPI 1740255314
  Medicare reassignment NPD
• Brittany Nicole Friley, DNP, AGACNP

  • Acute Care Nurse Practitioner
  • Lexington, KY
  • NPI 1265210355
  Medicare reassignment NPD
• Victoria Hayden, APRN, DNP

  • Family Nurse Practitioner
  • Lexington, KY
  • NPI 1922781129
  Medicare reassignment NPD
• Taylor Kinder, MSN, APRN, FNP-C

  • Family Nurse Practitioner
  • Lexington, KY
  • NPI 1518696020
  Medicare reassignment NPD
• Mubashir Qazi, MD FACC FSCAI

  • Interventional Cardiology Physician
  • Lexington, KY
  • NPI 1568437366
  Medicare reassignment NPD

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694390400000",
    "number": "1760583165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "161 N EAGLE CREEK DR",
            "address_2": "STE 400",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405099038",
            "telephone_number": "859-226-0031",
            "fax_number": "859-226-0041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "161 N EAGLE CREEK DR",
            "address_2": "STE 400",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405099038",
            "telephone_number": "859-226-0031",
            "fax_number": "859-226-0041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENTUCKY CARDIOLOGY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-26",
        "last_updated": "2023-09-11",
        "certification_date": "2023-09-11",
        "status": "A",
        "authorized_official_last_name": "NOVAK",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "859-226-0031"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "65939985",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kentuckentucky Foot & Ankle Associates, PLLC
• Kentuckiana ABA LLC (Kentuckiana ABA)
• Kentucky Audiology & Tinnitus Services, LLC
• Kentucky Breast Imaging PLLC
• Kentucky Cancerlink, Inc.
• Kentucky Center for Oral & Maxillofacial Surgery
• Kentucky Center for Oral & Maxillofacial Surgery
• Kentucky Center for Oral & Maxillofacial Surgery PSC
• Kentucky Center for Oral & Maxillofacial Surgery PSC
• Kentucky Center for Orthodontics, PSC

• Specialist in Lexington, KY
• Providers in Lexington, KY by specialty
• Specialist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.