Individual provider Active NPI

Katherine Hartigan Jett, M.D.

  • Internal Medicine Physician
  • La Grange, KY
National Provider Identifier
1801917570
Registry record updated Dec 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
43574 Issued in KY
Practice address
1031 New Moody LN
Suite 301
La Grange, KY 40031-9189
Phone
(502) 225-5520
Fax
(502) 225-5522
NPI assigned
Apr 2, 2007
Sex
Female
Sole proprietor
No

Organizations & group practices 20

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.

View all 20

Hospital & facility affiliations 2

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

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Louisville School of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Baptist Health Medical Group Inc 2,431 clinicians
PT Pros, Inc 263 clinicians

Practice addresses (Care Compare)

1031 New Moody Lane
Suite 201
Lagrange, KY 40031-9151
Phone (502) 721-6008

1031 New Moody LN
La Grange, KY 40031-9151

3900 Kresge Way
Louisville, KY 40207-4681

4031 N Dixie Hwy
Suite 104
Elizabethtown, KY 42701-7873
Phone (270) 982-4776

Hospital & facility affiliations

  • Baptist Health Lagrange Hospital, La Grange, KY, CCN 180138
  • Baptist Health Louisville Hospital, Louisville, KY, CCN 180130

Merit-based Incentive Payment System (MIPS)

Final score
94.29 of 100Reported as apm
Quality
87.32
Promoting interoperability
100
Improvement activities
40

Medicare participation

Medicare enrollment files
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.

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20081125000237 KY Practitioner - Family PracticePractitioner - Internal MedicinePractitioner - Pediatric Medicine 0042370769 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Health Medical Group Inc CurrentSince Aug 31, 2010 Accepting new patients
Baptist Health Medical Group Inc CurrentSince Aug 31, 2010 Accepting new patients
Baptist Healthcare System, Inc. Past Accepting new patients
After Hour Care of Kentuckiana, Inc. Past Accepting new patients
Baptist Health Medical Group Inc Past Accepting new patients
Baptist Medical Associates, Inc. Internal Medicine Past Accepting new patients

Locations

1023 New Moody Ln
Ste 201
Lagrange, KY 40031
Phone (502) 225-4480

1025 New Moody Ln
Lagrange, KY 40031
Phone (502) 222-3335

1031 New Moody Ln
Ste 301
Lagrange, KY 40031
Phone (502) 222-1545

2600 Stanley Gault Pkwy
Ste 201
Louisville, KY 40223
Phone (502) 253-1025

13117 Eastpoint Park Blvd
Ste C
Louisville, KY 40223
Phone (502) 254-0907

3900 Kresge Way
Ste 41
Louisville, KY 40207
Phone (502) 896-1313

Interoperability endpoints

  • Direct secure messaging: kjett7384@bhkydirect.com

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 43574 KY
Internal Medicine Physician 207R00000X 43574 KY Primary

Addresses

NPPES NPI Registry

Primary practice location

1031 New Moody LN
Suite 301
La Grange, KY 40031-9189

Mailing address

PO Box 950248
Louisville, KY 40295-0248
Phone (502) 253-1035

Other identifiers 2

NPPES NPI Registry
IdentifierTypeStateIssuer
7100124040MedicaidKY
50029750OtherKYPASSPORT

Other names 1

NPPES NPI Registry
  • Dr. Katherine Ann Hartigan Former name

Electronic endpoints 1

NPPES NPI Registry
TypeEndpointUseAffiliation
Direct Messaging Address kjett7384@bhkydirect.com

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 7, 2020.

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607299200000",
    "number": "1801917570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 950248",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402950248",
            "telephone_number": "502-253-1035",
            "fax_number": "502-253-1037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1031 NEW MOODY LN",
            "address_2": "SUITE 301",
            "city": "LA GRANGE",
            "state": "KY",
            "postal_code": "400319189",
            "telephone_number": "502-225-5520",
            "fax_number": "502-225-5522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JETT",
        "first_name": "KATHERINE",
        "middle_name": "HARTIGAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-02",
        "last_updated": "2020-12-07",
        "certification_date": "2020-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "KY",
            "license": "43574",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KY",
            "license": "43574",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100124040",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PASSPORT",
            "identifier": "50029750",
            "state": "KY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kjett7384@bhkydirect.com",
            "affiliation": "N",
            "address_1": "1023 New Moody Ln Ste 201",
            "city": "LA Grange",
            "state": "KY",
            "country_code": "US",
            "postal_code": "400319181",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "KATHERINE",
            "last_name": "HARTIGAN",
            "middle_name": "ANN",
            "prefix": "DR.",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in La Grange, KY

Sources for this page

Verify at the official NPI Registry.