Individual provider Active NPI

Michael Ross Tekulve, M.D.

  • Surgery Physician
  • Lexington, KY
National Provider Identifier
1760601025
Registry record updated Mar 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
R0523 Issued in KY
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

Updated by the provider on Mar 13, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
7100011440MedicaidKY

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070921000134 KY Practitioner - General Surgery 2062506041 Reassigns benefits to 3 organizations

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
Baptist Health Medical Group IncGroup PAC ID 5597867184, 2,431 clinicians
Kentucky Mso LLCGroup PAC ID 0749450633, 53 clinicians

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 Hospital, Lexington, KY, CCN 180103

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R0523KYMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lake Cumberland Regional Hospital LLC CurrentSince Apr 16, 2014 Accepting new patients
Lake Cumberland Regional Hospital LLC Current Accepting new patients
Baptist Health Medical Group Inc CurrentSince Sep 1, 2025 Accepting new patients
Lake Cumberland Regional Hospital LLC CurrentSince Apr 16, 2014 Accepting new patients
Kentucky Mso LLC CurrentSince Sep 4, 2017 Accepting new patients
Kentucky Mso LLC CurrentSince Sep 4, 2017 Accepting new patients
Baptist Health Medical Group Inc CurrentSince Sep 1, 2025 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

  • Direct secure messaging: michael.tekulve.1@19475.direct.athenahealth.com
  • FHIR API: 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.

Hospital & facility affiliations 1

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": "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

Verify at the official NPI Registry.