Individual provider Active NPI

Scott R Nelson, MD

  • Pulmonary Disease Physician
  • Ashland, KY
National Provider Identifier
1760589279
Registry record updated Feb 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
23423 Issued in KY
Practice address
613 23Rd St Ste G30
Ashland, KY 41101-2881
Phone
(606) 408-5864
Fax
(606) 408-6499
NPI assigned
Sep 19, 2006
Last updated
Feb 28, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X 35.099955 OH
Pulmonary Disease Physician 207RP1001X 23423 KY Primary

Addresses

Primary practice location

613 23Rd St Ste G30
Ashland, KY 41101-2881

Mailing address

PO Box 2379
Ashland, KY 41105-2379
Phone (606) 329-1185

Other practice location 1

1729 Kinneys Ln Ste 202
Portsmouth, OH 45662-3167
Phone (606) 408-5864

Other identifiers 2

IdentifierTypeStateIssuer
0620626OtherOMA
64234230MedicaidKY

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address snelson9049@direct.kdhealth.us Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, OH2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20041004000507 KY Practitioner - Pulmonary DiseasePractitioner - Internal MedicinePractitioner - Critical Care (Intensivists) 1759340086 Reassigns benefits to 1 organization
I20160127002324 OH Practitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists) 1759340086 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Critical Care (Intensivists), Internal Medicine
Education
University of Wisconsin School of Medicine, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kings Daughters Medical Specialties IncGroup PAC ID 6103968029, shared by 2 NPIs, 397 clinicians

Practice addresses (Care Compare)

100 Bellefonte Dr
Grayson, KY 41143-1820
Phone (606) 329-9335

1000 Ashland Dr
Suite G2
Ashland, KY 41101-7084
Phone (606) 408-5864

1242 Crescent Dr
Wheelersburg, OH 45694-9376
Phone (740) 574-8441

1729 Kinneys LN
Portsmouth, OH 45662-3167

2201 Lexington Ave
Ashland, KY 41101-2843
Phone (606) 408-4000

613 23Rd St
Suite G30
Ashland, KY 41101-2881
Phone (606) 327-0036

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.04 of 100Reported as group
Quality
60.55
Promoting interoperability
100
Improvement activities
40
Cost
78.81

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
23423KYMDPulmonary Disease Physician
35.099955OHMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kings Daughters Medical Specialties Inc Pulmonary Disease CurrentSince Jan 1, 2016 Accepting new patients
King's Daughters Medical Specialties, Inc. CurrentSince Dec 1, 2010 Accepting new patients
Kings Daughters Medical Specialties Inc Current Accepting new patients
Kings Daughters Medical Specialties Inc CurrentSince Dec 1, 2010 Accepting new patients
Kings Daughters Medical Specialties Inc Current Accepting new patients
Tri-State Pulmonary Assoc PSC Pulmonary Disease Past Accepting new patients
Kings Daughters Medical Specialties Inc Pulmonary Disease Past Accepting new patients

Locations

2201 Lexington Ave
Ashland, KY 41101
Phone (606) 268-2560

613 23rd St
Ste G10
Ashland, KY 41101
Phone (606) 329-1997

613 23rd St
Ste G30
Ashland, KY 41101
Phone (606) 327-0036

609 N Carol Malone Blvd
#105
Grayson, KY 41143
Phone (606) 408-8200

1729 Kinneys Ln
Ste 202
Portsmouth, OH 45662
Phone (740) 353-8100

2001 Scioto Trl
Ste 200
Portsmouth, OH 45662
Phone (740) 353-8100

1242 Crescent Dr
Wheelersburg, OH 45694
Phone (740) 574-8441

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 2

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": "1158624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646006400000",
    "number": "1760589279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2379",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "411052379",
            "telephone_number": "606-329-1185",
            "fax_number": "606-324-0585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "613 23RD ST STE G30",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "411012881",
            "telephone_number": "606-408-5864",
            "fax_number": "606-408-6499"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1729 Kinneys Ln Ste 202",
            "address_purpose": "LOCATION",
            "city": "Portsmouth",
            "state": "OH",
            "postal_code": "456623167",
            "country_code": "US",
            "telephone_number": "606-408-5864",
            "fax_number": "606-408-6985",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NELSON",
        "first_name": "SCOTT",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-19",
        "last_updated": "2022-02-28",
        "certification_date": "2022-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "OH",
            "license": "35.099955",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "KY",
            "license": "23423",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OMA",
            "identifier": "0620626",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64234230",
            "state": "KY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "snelson9049@direct.kdhealth.us",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "TXT",
            "address_1": "613 23rd St Ste G30",
            "city": "Ashland",
            "state": "KY",
            "country_code": "US",
            "postal_code": "411012881",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Ashland, KY

Sources for this page

Verify at the official NPI Registry.