Individual provider Active NPI

John T. Cecil Jr., M.D.

  • Pediatrics Physician
  • Paducah, KY
National Provider Identifier
1821168154
Registry record updated Oct 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
20932 Issued in KY
Practice address
2670 New Holt Rd Ste C
Paducah, KY 42001-7506
Phone
(270) 575-1010
Fax
(270) 575-1018
NPI assigned
Nov 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 20932 KY Primary

Addresses

Primary practice location

2670 New Holt Rd Ste C
Paducah, KY 42001-7506

Mailing address

PO Box 14252
Belfast, ME 04915-4035
Phone (270) 575-1010

Other identifiers 1

IdentifierTypeStateIssuer
64209323MedicaidKY

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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090421000563 KY Practitioner - Pediatric Medicine 1759438153 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Medicine
Education
University of Louisville School of Medicine, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baptist Health Medical Group IncGroup PAC ID 5597867184, shared by 31 NPIs, 2,431 clinicians

Practice addresses (Care Compare)

2601 Kentucky Ave
Suite 103
Paducah, KY 42003-3817
Phone (270) 415-7653

2670 New Holt Rd
Suite 120
Paducah, KY 42001-7506
Phone (270) 575-1010

Hospital & facility affiliations

  • Baptist Health Paducah Hospital, Paducah, KY, CCN 180104

Merit-based Incentive Payment System (MIPS)

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

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Health Medical Group Inc CurrentSince Dec 1, 2020 Accepting new patients
Baptist Health Medical Group Inc CurrentSince Sep 1, 2021 Accepting new patients
Jackson Purchase Medical Associates, PSC Pediatrics Current Accepting new patients
Baptist Health Medical Group Inc CurrentSince Dec 1, 2020 Accepting new patients
Baptist Health Medical Group Inc Current Accepting new patients
The Ophthalmology Group, LLC PastSince Aug 1, 2016 Accepting new patients
Baptist Community Health Services Inc PastSince Oct 22, 2012 Accepting new patients

Locations

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

2601 Kentucky Ave
Ste 103
Paducah, KY 42003
Phone (270) 415-4860

2670 New Holt Rd
Ste 120
Paducah, KY 42001
Phone (270) 575-1010

225 Medical Center Dr
Ste 302
Paducah, KY 42003
Phone (270) 441-4300

225 Medical Center Dr
Paducah, KY 42003
Phone (270) 441-4125

2603 Kentucky Ave
Ste 304
Paducah, KY 42003
Phone (270) 415-4800

Interoperability endpoints

  • Direct secure messaging: jcecil6281@bhkydirect.com

Organizations & group practices 7

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476835200000",
    "number": "1821168154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 14252",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049154035",
            "telephone_number": "270-575-1010",
            "fax_number": "270-575-1018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2670 NEW HOLT RD STE C",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420017506",
            "telephone_number": "270-575-1010",
            "fax_number": "270-575-1018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CECIL",
        "first_name": "JOHN",
        "middle_name": "T.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-08",
        "last_updated": "2016-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "KY",
            "license": "20932",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64209323",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Paducah, KY

Sources for this page

Verify at the official NPI Registry.