Amy D Carrillo, DO

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

03678 Issued in KY

Practice address

170 N Eagle Creek Dr Ste 110
Lexington, KY 40509-9087

Phone

(859) 263-0141

Fax

(859) 263-8669

NPI assigned

Aug 28, 2007

Last updated

Jun 25, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 4

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

Specialty

Obstetrics/Gynecology

Education

University of Pikeville, Kentucky College of Osteopathic Med, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Kentuckyone Health Medical Group IncGroup PAC ID 8820993702, 260 clinicians

Community Medical Associates IncGroup PAC ID 7012811284, 1,368 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: acarrillo274818@direct.stlukeshealth.org
• Direct secure messaging: amy.carrillo.1@32600.direct.athenahealth.com
• Direct secure messaging: amycarrillo@kysjhspe.allscriptsdirect.net

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.

• Community Medical Associates, Inc.

  • Multi-Specialty Clinic/Center
  • Louisville, KY
  • NPI 1306983762
  Medicare reassignment Care Compare group NPD
• Kentuckyone Health Medical Group, Inc.

  dba CHI Saint Joseph Medical Group

  • Family Medicine Physician
  • Lexington, KY
  • NPI 1104875970
  Medicare reassignment Care Compare group NPD
• Healthfirst Bluegrass Inc

  • Federally Qualified Health Center (FQHC)
  • Lexington, KY
  • NPI 1114932514
  Medicare reassignment NPD
• Obhg Kentucky, P.S.C.

  • Obstetrics & Gynecology Physician
  • Ashland, KY
  • NPI 1457644122
  Medicare reassignment NPD
• Community Medical Associates, Inc.

  dba Norton Infectious Diseases Institute

  • Infectious Disease Physician
  • Louisville, KY
  • NPI 1124626056
  NPD
• Community Medical Associates, Inc.

  dba Norton Community Medical Associates

  • Internal Medicine Physician
  • Louisville, KY
  • NPI 1881192409
  NPD
• Healthfirst Bluegrass Inc.

  • Federally Qualified Health Center (FQHC)
  • Lexington, KY
  • NPI 1447997044
  NPD
• Kentuckyone Health Medical Group, Inc.

  dba CHI Saint Joseph Medical Group

  • General Practice Physician
  • Lexington, KY
  • NPI 1902238694

  Obstetrics & Gynecology

  NPD
• Neurosurgical Associates PSC

  • Neurological Surgery Physician
  • Lexington, KY
  • NPI 1235110925
  NPD
• Saint Joseph Health System, Inc

  dba CHI Saint Joseph East

  • General Acute Care Hospital
  • Lexington, KY
  • NPI 1447457775
  NPD (past)
• Johnson City OB/GYN Associates

  • Obstetrics & Gynecology Physician
  • Johnson City, TN
  • NPI 1528091386
  NPD (past)

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

{
    "created_epoch": "1188259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782345600000",
    "number": "1780878330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 936",
            "city": "LONDON",
            "state": "KY",
            "postal_code": "407430936",
            "telephone_number": "606-330-7835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 N EAGLE CREEK DR STE 110",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405099087",
            "telephone_number": "859-263-0141",
            "fax_number": "859-263-8669"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "496 Southland Dr",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "KY",
            "postal_code": "405031827",
            "country_code": "US",
            "telephone_number": "859-288-2425",
            "fax_number": "859-721-3918",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARRILLO",
        "first_name": "AMY",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-28",
        "last_updated": "2026-06-25",
        "certification_date": "2026-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "KY",
            "license": "03678",
            "primary": true
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TN",
            "license": "DO0000001939",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF TN",
            "identifier": "41954515",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100314440 (KOHMG)",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100314440",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1508408",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Laura Gail Carr, M.D., M.P.H.
• Molly Bushong Carr, PHARMD
• Taylor James Dewayne Carr
• Jillian Renee Carrico
• Christen Carrigan
• Carrington Center for Wellness LLC
• Jailine Valeria Carrion, OD
• Christopher L Carrol
• Brenda Marie Carroll, PHARM.D.
• Jacqueline Denise Howell Carroll, MS CCC

• Obstetrics & Gynecology Physician in Lexington, KY
• Providers in Lexington, KY by specialty
• Obstetrics & Gynecology Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2026; 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.

Verify at the official NPI Registry.