Organization Active NPI

1 Care Partners Ky LLC

  • Geriatric Medicine (Internal Medicine) Physician
  • Mt Washington, KY
National Provider Identifier
1790659662
Registry record updated Oct 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
Legal business name
1 CARE PARTNERS KY LLC
Practice address
310 Boxwood Run
Mount Washington, KY 40047-7143
Phone
(336) 663-2273
NPI assigned
Oct 2, 2025
Last updated
Oct 21, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2025

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

Authorized official

Name
Gideon Leiser
Title
Ceo
Phone
(443) 929-0404

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X Primary

Addresses

Primary practice location

310 Boxwood Run
Mount Washington, KY 40047-7143

Mailing address

9505 Reisterstown Rd Ste 2NW
Owings Mills, MD 21117-4451

Other practice location 1

1500 Trent Blvd
Lexington, KY 40515-1900
Phone (336) 663-2273

Other practice location 2

1155 Eastern Pkwy
Louisville, KY 40217-1401
Phone (336) 663-2273

Other practice location 3

420 Jett Dr
Jackson, KY 41339-9621
Phone (336) 663-2273

Other practice location 4

900 Gagel Ave
Louisville, KY 40216-4012
Phone (336) 663-2273

Other practice location 5

308 W Maple Ave
Lancaster, KY 40444-1005
Phone (336) 663-2273

Other practice location 6

1033 N Highway 11
Manchester, KY 40962-5478
Phone (336) 663-2273

Other practice location 7

1253 Lake Barkley Dr
Kuttawa, KY 42055-6124
Phone (336) 663-2273

Other practice location 8

1015 Magazine St
Louisville, KY 40203-2017
Phone (336) 663-2273

Other practice location 9

120 Life Care Way
Bardstown, KY 40004-2059
Phone (336) 663-2273

Other practice location 10

945 W Russell St
Elkhorn City, KY 41522-9032
Phone (336) 663-2273

Other practice location 11

203 Bruce Ct
Danville, KY 40422-1948
Phone (336) 663-2273

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251119000336 KY Part B Supplier - Clinic/Group Practice 6901397892 Receives reassigned benefits from 7 practitioners
Practice locations: Jackson, KY; Mount Washington, KY; Manchester, KY; Louisville, KY; Lexington, KY; Lancaster, KY; Kuttawa, KY; Elkhorn City, KY…

National Provider Directory

National Provider Directory

Locations

420 Jett Dr
Jackson, KY 41339
Phone (606) 666-2456

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1759363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761004800000",
    "number": "1790659662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9505 REISTERSTOWN RD STE 2NW",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211174451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 BOXWOOD RUN",
            "city": "MOUNT WASHINGTON",
            "state": "KY",
            "postal_code": "400477143",
            "telephone_number": "336-663-2273"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1500 Trent Blvd",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "KY",
            "postal_code": "405151900",
            "country_code": "US",
            "telephone_number": "336-663-2273",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1155 Eastern Pkwy",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402171401",
            "country_code": "US",
            "telephone_number": "336-663-2273",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "420 Jett Dr",
            "address_purpose": "LOCATION",
            "city": "Jackson",
            "state": "KY",
            "postal_code": "413399621",
            "country_code": "US",
            "telephone_number": "336-663-2273",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "900 Gagel Ave",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402164012",
            "country_code": "US",
            "telephone_number": "336-663-2273",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "308 W Maple Ave",
            "address_purpose": "LOCATION",
            "city": "Lancaster",
            "state": "KY",
            "postal_code": "404441005",
            "country_code": "US",
            "telephone_number": "336-663-2273",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1033 N Highway 11",
            "address_purpose": "LOCATION",
            "city": "Manchester",
            "state": "KY",
            "postal_code": "409625478",
            "country_code": "US",
            "telephone_number": "336-663-2273",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1253 Lake Barkley Dr",
            "address_purpose": "LOCATION",
            "city": "Kuttawa",
            "state": "KY",
            "postal_code": "420556124",
            "country_code": "US",
            "telephone_number": "336-663-2273",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1015 Magazine St",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402032017",
            "country_code": "US",
            "telephone_number": "336-663-2273",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "120 Life Care Way",
            "address_purpose": "LOCATION",
            "city": "Bardstown",
            "state": "KY",
            "postal_code": "400042059",
            "country_code": "US",
            "telephone_number": "336-663-2273",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "945 W Russell St",
            "address_purpose": "LOCATION",
            "city": "Elkhorn City",
            "state": "KY",
            "postal_code": "415229032",
            "country_code": "US",
            "telephone_number": "336-663-2273",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "203 Bruce Ct",
            "address_purpose": "LOCATION",
            "city": "Danville",
            "state": "KY",
            "postal_code": "404221948",
            "country_code": "US",
            "telephone_number": "336-663-2273",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "1 CARE PARTNERS KY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-02",
        "last_updated": "2025-10-21",
        "certification_date": "2025-10-21",
        "status": "A",
        "authorized_official_last_name": "LEISER",
        "authorized_official_first_name": "GIDEON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "443-929-0404"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mt Washington, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.