Jason Bowman, MD
Individual provider Active NPI Critical Care Medicine (Internal Medicine) Physician · Lexington, KY
NPI 1780115550 · NPPES record last updated Oct 23, 2020
Key facts
- NPI
- 1780115550
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Critical Care Medicine (Internal Medicine) Physician 207RC0200X
- License
- 53372 (KY)
- Practice address
- 800 Rose St
Room M-53
Lexington, KY 40536 - Phone
- (859) 323-5083
- Fax
- (859) 323-5682
- NPI assigned
- Mar 23, 2017
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 8
Hospital & facility affiliations 9
Medicare Care Compare profile
- Specialty
- Emergency Medicine
- Education
- Texas a & M University System, HSC, College of Medicine, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Ephraim McDowell Health Resource Inc
Empact Midwest LLC
Practice addresses (Care Compare)
109 Daniel Dr
Danville, KY 40422-2527
Phone (859) 236-3361
120 Daniel Dr
Danville, KY 40422-2527
Phone (859) 239-5570
124 Daniel Dr
Danville, KY 40422-2527
Phone (859) 239-5570
130 Daniel Dr
Danville, KY 40422-2527
Phone (859) 236-2222
216 W Walnut St
Danville, KY 40422-1832
217 S 3Rd St
Danville, KY 40422-1823
Phone (859) 239-1000
Hospital & facility affiliations
- Ephraim McDowell Regional Medical Center
- Ephraim McDowell Fort Logan Hospital
- Lake Cumberland Regional Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.36 of 100
- Quality
- 64.78
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 67.25
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190725002384 | KY | Practitioner - Emergency Medicine | 1254689334 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 53372 | KY | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ephraim McDowell Health Resource, Inc | Current |
Accepting new patients | |
| Southeastern Emergency Physicians LLC | Emergency Medicine | Current |
Accepting new patients |
| Ephraim McDowell Health Resource, Inc. | Current | Accepting new patients | |
| Ephraim McDowell Health Resource,Inc | Current |
Accepting new patients | |
| Empact Midwest LLC | Emergency Medicine | Current |
Accepting new patients |
| Ephraim McDowell Health Resource, Inc | Critical Care Medicine | Past | Accepting new patients |
| 24 On Physicians, PC | Past | Accepting new patients |
Locations
1 Trillium Way
Corbin, KY 40701
Phone (606) 523-8521
1541 Lebanon Rd
Ste 1
Danville, KY 40422
Phone (859) 236-3208
109 Daniel Dr
Danville, KY 40422
Phone (859) 236-3361
216 W Walnut St
Ste A
Danville, KY 40422
Phone (859) 239-5870
217 S 3rd St
Danville, KY 40422
Phone (859) 239-1000
464 Linden Ave
Harrodsburg, KY 40330
Phone (859) 734-5441
110 Metker Trl
Stanford, KY 40484
Phone (606) 365-3360
Interoperability endpoints
- jbowman33211@ukhcdirect.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 53372 | KY | |
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | 53372 | KY | Yes |
Addresses
Primary practice location
800 Rose St
Room M-53
Lexington, KY 40536
Mailing address
800 Rose St
Room M-53
Lexington, KY 40536-7001
Phone (859) 323-5083
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 53372 | Other | KY | KBML |
Other providers in Lexington, KY
- Ami Bowman
- Amy Bowman
- Austin Clay Bowman
- Benjamin C Bowman
- Caroline Bowman
- Kayla Bowman
- Nicholas Bowman
- Patti Jo Bowman
- Roxanne Katrina Bowman
- Shante' S Bowman
All providers in Lexington, KY · Critical Care Medicine (Internal Medicine) Physician in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 23, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.