Ted Richard Qualls, M.D.

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

R1537 Issued in KY

Practice address

800 Rose St
Department of Emergency Medicine
Lexington, KY 40536-0001

Phone

(859) 323-5000

NPI assigned

Oct 25, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Emergency Medicine

Education

University of Texas Medical School at Houston, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Southeastern Emergency Physicians LLCGroup PAC ID 2466364997, 776 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Georgetown Community Hospital Hospital, Georgetown, KY, CCN 180101

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Southeastern Emergency Physicians LLC

  • Emergency Medicine Physician
  • Maysville, KY
  • NPI 1356379382
  Medicare reassignment Care Compare group
• Dallas Anesthesiology Associates, PA

  • Anesthesiology Physician
  • Dallas, TX
  • NPI 1497700280
  NPD (past)
• Texas Em-I Medical Services, P.a.

  • Emergency Medicine Physician
  • Garland, TX
  • NPI 1669430617
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Georgetown Community Hospital LLC

  • Rural Acute Care Hospital
  • Georgetown, KY
  • NPI 1326107319
  Care Compare affiliation

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

{
    "created_epoch": "1224892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1224892800000",
    "number": "1790938405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3901 RAPID RUN DR APT 1227",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405151889",
            "telephone_number": "606-306-7497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 ROSE ST",
            "address_2": "DEPARTMENT OF EMERGENCY MEDICINE",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405360001",
            "telephone_number": "859-323-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUALLS",
        "first_name": "TED",
        "middle_name": "RICHARD",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-10-25",
        "last_updated": "2008-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "KY",
            "license": "R1537",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Justin Quackenbush
• Quality Care Rehabilitation
• Amanda Denise Qualls
• Brandy Rae Qualls, RRT, RPFT
• Kylie Qualls
• Sophia L Quesenberry
• Quest Diagnostics Clinical Lab Inc.
• Briana Quichocho
• William Carl Quick, CADC
• Amy M Quickert

• Emergency Medicine Physician in Lexington, KY
• Providers in Lexington, KY by specialty
• Emergency Medicine Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2008; 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.