NPIMap

Individual provider Active NPI

Paul Duane Depriest, MD

  • Gynecology Physician
  • Lexington, KY
National Provider Identifier
1801830328
Registry record updated Oct 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
24613 Issued in KY
Practice address
496 Southland Dr
Lexington, KY 40503-1827
Phone
(859) 288-2425
Fax
(859) 288-7510
NPI assigned
Jun 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics Physician 207VX0000X 24613 KY
Gynecologic Oncology Physician 207VX0201X 24613 KY
Gynecology Physician 207VG0400X 24613 KY Primary

Addresses

Primary practice location

496 Southland Dr
Lexington, KY 40503-1827

Mailing address

496 Southland Dr
Lexington, KY 40503-1827
Phone (859) 288-2425

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231031001299 KY Practitioner - Obstetrics/GynecologyPractitioner - Gynecological Oncology 5799863031 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/GynecologyAlso: Gynecological Oncology
Education
University of Kentucky College of Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Healthfirst Bluegrass IncGroup PAC ID 5890961593, 26 clinicians

Practice addresses (Care Compare)

496 Southland Dr
Lexington, KY 40503-1827
Phone (859) 288-2425

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
24613KYMDObstetrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Healthfirst Bluegrass Inc Current Accepting new patients
Healthfirst Bluegrass Inc. CurrentSince Oct 30, 2023 Accepting new patients
Stern Cardiovascular Foundation, Inc PastSince Jun 14, 2021 Accepting new patients
Baptist Memorial Hospital-Tipton PastSince Nov 27, 2023 Accepting new patients
Baptist Memorial Hospital North Mississippi, Inc PastSince Aug 19, 2019 Accepting new patients

Locations

496 Southland Dr
Lexington, KY 40503
Phone (859) 288-2392

Interoperability endpoints

  • Direct secure messaging: paul.depriest.1@32600.direct.athenahealth.com

Ownership & related parties

All facility ownership & control disclosures 19

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Baptist Memorial Hospital - Carroll CountyHuntingdon, TN, CCN 440016 Hospital Corporate Officer Aug 21, 2020
Baptist Memorial Hospital MemphisMemphis, TN, CCN 440048 Hospital Corporate Officer Jun 1, 2014
BMH - DesotoSouthaven, MS, CCN 250141 Hospital Corporate Officer Jun 1, 2014
BMH-Union CityUnion City, TN, CCN 440130 Hospital Corporate Officer Jun 1, 2014
BMH-BoonevilleBooneville, MS, CCN 250044 Hospital Corporate Officer Dec 15, 2020
BMH-BoonevilleBooneville, MS, CCN 25S044 Hospital Corporate Officer Dec 15, 2020
Nea Baptist Memorial HospitalJonesboro, AR, CCN 040118 Hospital Corporate Officer Jun 1, 2014
Nea Baptist Memorial HospitalJonesboro, AR, CCN 04T118 Hospital Corporate Director Oct 1, 2015
Baptist Medical Center - AttalaKosciusko, MS, CCN 25Z336 Hospital Corporate Officer Feb 25, 2021
BMH-CalhounCalhoun City, MS, CCN 251331 Hospital Corporate Officer Oct 1, 2016
BMH-CalhounCalhoun City, MS, CCN 25Z331 Hospital Corporate Officer Oct 1, 2016
Healthfirst Bluegrass IncLexington, KY, CCN 181812 Federally qualified health center Corporate Officer
W-2 Managing Employee		 Mar 1, 2024
Oct 30, 2023
Healthfirst Bluegrass IncLexington, KY, CCN 181967 Federally qualified health center Corporate Officer
W-2 Managing Employee		 Mar 1, 2024
Oct 30, 2023
Healthfirst Bluegrass IncLexington, KY, CCN 181969 Federally qualified health center Corporate Officer
W-2 Managing Employee		 Mar 1, 2024
Oct 30, 2023
Healthfirst Bluegrass IncLexington, KY, CCN 181102 Federally qualified health center Corporate Director
W-2 Managing Employee		 Mar 2, 2024
Oct 30, 2023
Healthfirst Bluegrass IncLexington, KY, CCN 181169 Federally qualified health center Corporate Officer
W-2 Managing Employee		 Mar 1, 2024
Oct 30, 2023
Healthfirst Bluegrass IncLexington, KY, CCN B01089 Federally qualified health center Corporate Officer
W-2 Managing Employee		 Mar 1, 2024
Oct 30, 2023
Healthfirst Bluegrass IncLexington, KY, CCN B01092 Federally qualified health center Corporate Officer
W-2 Managing Employee		 Mar 1, 2024
Oct 30, 2023
Baptist Medical Group - Kosciusko Primary CareKosciusko, MS, CCN 258614 Rural health clinic Corporate Officer Mar 23, 2021

Owned or controlled facilities with NPI records 19

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

View all 19

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696896000000",
    "number": "1801830328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "496 SOUTHLAND DR",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405031827",
            "telephone_number": "859-288-2425",
            "fax_number": "859-288-7510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "496 SOUTHLAND DR",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405031827",
            "telephone_number": "859-288-2425",
            "fax_number": "859-288-7510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEPRIEST",
        "first_name": "PAUL",
        "middle_name": "DUANE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-15",
        "last_updated": "2023-10-10",
        "certification_date": "2023-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VX0000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": "KY",
            "license": "24613",
            "primary": false
        },
        {
            "code": "207VX0201X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecologic Oncology",
            "state": "KY",
            "license": "24613",
            "primary": false
        },
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "KY",
            "license": "24613",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

Verify at the official NPI Registry.