Active NPI
Michael Ross Tekulve, M.D.
- Surgery Physician
- Lexington, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- R0523
- Practice address
- 1401 Harrodsburg Rd
Suite B-355
Lexington, KY 40504-3751 - Phone
- (859) 276-5262
- Fax
- (859) 277-6509
- NPI assigned
- Apr 25, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | R0523 | KY | Primary |
Addresses
Primary practice location
1401 Harrodsburg Rd
Suite B-355
Lexington, KY 40504-3751
Mailing address
1401 Harrodsburg Rd
Suite B-355
Lexington, KY 40504-3751
Phone (859) 276-5262
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100011440 | Medicaid | KY |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- University of South Alabama College of Medicine, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1740 Nicholasville Rd
Lexington, KY 40503-1499
Phone (859) 260-5100
370 Amsden Ave
Suite 501
Versailles, KY 40383-6926
Phone (859) 879-2419
Hospital & facility affiliations
- Baptist Health Lexington
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
| Hernia repair - groin (open) | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R0523 | KY | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lake Cumberland Regional Hospital LLC | Current | Accepting new patients | |
| Lake Cumberland Regional Hospital LLC | Current | Accepting new patients | |
| Baptist Health Medical Group Inc | Current | Accepting new patients | |
| Lake Cumberland Regional Hospital LLC | Current | Accepting new patients | |
| Kentucky Mso LLC | Current | Accepting new patients | |
| Kentucky Mso LLC | Current | Accepting new patients | |
| Baptist Health Medical Group Inc | Current | Accepting new patients |
Locations
1140 Lexington Rd
Ste 105
Georgetown, KY 40324
Phone (502) 868-5660
1140 Lexington Rd
Georgetown, KY 40324
Phone (502) 868-1100
4071 Tates Creek Centre Dr
Ste 202
Lexington, KY 40517
Phone (859) 260-4390
1740 Nicholasville Rd
Lexington, KY 40503
Phone (859) 260-6100
350 Hospital Way
Ste 100
Somerset, KY 42503
Phone (606) 451-2600
353 Bogle St
Ste A
Somerset, KY 42503
Phone (606) 451-3820
370 Amsden Ave
Ste 501
Versailles, KY 40383
Phone (859) 873-0511
Interoperability endpoints
- michael.tekulve.1@19475.direct.athenahealth.com
- https://api.platform.athenahealth.com/21269/brand/3/csg/1/fhir/r4
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 and National Provider Directory roles.
-
- Nurse Practitioner
- Lexington, KY
- NPI 1518360296
-
- Gastroenterology Physician
- Georgetown, KY
- NPI 1164867883
-
- Internal Medicine Physician
- Somerset, KY
- NPI 1861078685
-
- Rural Health Clinic/Center
- Dawson Springs, KY
- NPI 1982178216
-
- Rural Health Clinic/Center
- Lawrenceburg, KY
- NPI 1922860758
-
- Rural Health Clinic/Center
- Somerset, KY
- NPI 1023155462
-
- Family Nurse Practitioner
- Somerset, KY
- NPI 1093092744
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Lexington, KY
- NPI 1538244918
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177459200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1394668800000",
"number": "1760601025",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1401 HARRODSBURG RD",
"address_2": "SUITE B-355",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405043751",
"telephone_number": "859-276-5262",
"fax_number": "859-277-6509"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1401 HARRODSBURG RD",
"address_2": "SUITE B-355",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405043751",
"telephone_number": "859-276-5262",
"fax_number": "859-277-6509"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TEKULVE",
"first_name": "MICHAEL",
"middle_name": "ROSS",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-25",
"last_updated": "2014-03-13",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "KY",
"license": "R0523",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100011440",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lexington, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.