Individual provider Active NPI

Andrew L. Fozzard, MD

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Lexington, KY
National Provider Identifier
1821591926
Registry record updated Jun 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospice and Palliative Medicine (Internal Medicine) PhysicianTaxonomy code 207RH0002X
License
55472 Issued in KY
Practice address
1401 Harrodsburg Rd Ste C405
Lexington, KY 40504-1748
Phone
(859) 276-4429
Fax
(859) 313-1095
NPI assigned
Mar 14, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 55472 KY
Hospice and Palliative Medicine (Internal Medicine) Physician 207RH0002X 55472 KY Primary

Addresses

Primary practice location

1401 Harrodsburg Rd Ste C405
Lexington, KY 40504-1748

Mailing address

PO Box 936
London, KY 40743-0936
Phone (606) 330-7835

Other practice location 1

800 Rose St
Lexington, KY 40536-7001
Phone (859) 257-1000

Other identifiers 1

IdentifierTypeStateIssuer
7100612700MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, KY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240621002460 MN Practitioner - Internal Medicine 1355679572
I20240830002762 KY Practitioner - Hospice/Palliative CarePractitioner - Critical Care (Intensivists) 1355679572 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hospice/Palliative CareAlso: Critical Care (Intensivists)
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1401 Harrodsburg Rd
Suite B280
Lexington, KY 40504-1728
Phone (859) 313-4989

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
55472KYMDCritical Care Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kentucky Medical Services Foundation, Inc CurrentSince Aug 27, 2024 Accepting new patients
Kentuckyone Health Medical Group, Inc. CurrentSince Jul 1, 2025 Accepting new patients
University of Kentucky CurrentSince Aug 27, 2024 Accepting new patients
Centracare Clinic Past Accepting new patients

Locations

305 Estill St
Berea, KY 40403
Phone (859) 986-1415

1401 Harrodsburg Rd
Ste B280
Lexington, KY 40504
Phone (859) 313-4989

800 Rose St
Lexington, KY 40536
Phone (859) 257-8562

1401 Harrodsburg Rd
Ste A300
Lexington, KY 40504
Phone (859) 313-4744

2400 Greatstone Pt
Lexington, KY 40504
Phone (859) 257-9800

1401 Harrodsburg Rd
Ste C405
Lexington, KY 40504
Phone (859) 277-2280

Interoperability endpoints

  • Direct secure messaging: afozzard23657@ukhcdirect.org
  • Direct secure messaging: afozzard820894@direct.centracare.com
  • Direct secure messaging: afozzard421683@direct.stlukeshealth.org

Organizations & group practices 4

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 3

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": "1520985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748908800000",
    "number": "1821591926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 936",
            "city": "LONDON",
            "state": "KY",
            "postal_code": "407430936",
            "telephone_number": "606-330-7835",
            "fax_number": "859-313-1095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 HARRODSBURG RD STE C405",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405041748",
            "telephone_number": "859-276-4429",
            "fax_number": "859-313-1095"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "800 Rose St",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "KY",
            "postal_code": "405367001",
            "country_code": "US",
            "telephone_number": "859-257-1000",
            "fax_number": "859-257-1342",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FOZZARD",
        "first_name": "ANDREW",
        "middle_name": "L.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-03-14",
        "last_updated": "2025-06-03",
        "certification_date": "2025-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "KY",
            "license": "55472",
            "primary": false
        },
        {
            "code": "207RH0002X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": "KY",
            "license": "55472",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100612700",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

Verify at the official NPI Registry.