NPIMap

Individual provider Active NPI

Johnny Makhoul, MD

  • Cardiovascular Disease Physician
  • Owensboro, KY
National Provider Identifier
1831183714
Registry record updated May 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
30942 Issued in KY
Practice address
1301 Pleasant Valley Rd
Suite 202
Owensboro, KY 42303-9774
Phone
(270) 417-7500
Fax
(270) 417-7509
NPI assigned
Sep 7, 2005
Last updated
May 14, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 30942 KY Primary

Addresses

Primary practice location

1301 Pleasant Valley Rd
Suite 202
Owensboro, KY 42303-9774

Mailing address

PO Box 23229
Owensboro, KY 42304-3229
Phone (270) 688-1330

Other identifiers 2

IdentifierTypeStateIssuer
200056020BMedicaidIN
64309420MedicaidKY

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jmakhoul9477@direct.owensborohealth.org

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
I20050103000385 KY Practitioner - Cardiovascular Disease (Cardiology) 2567420862 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2211 Mayfair Dr
Suite 101
Owensboro, KY 42301-4569
Phone (270) 688-1352

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
30942KYMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kentuckiana Heart & Vascular Specialists PSC CurrentSince Jun 10, 2013 Accepting new patients
Owensboro Health Medical Group Inc Current Accepting new patients
Owensboro Health Medical Group Inc CurrentSince Jun 10, 2009 Accepting new patients
Owensboro Health Medical Group, Inc Cardiovascular Disease CurrentSince Jun 10, 2009 Accepting new patients
Lawrence E Gering M.D., P.C. PastSince Jan 1, 2005 Accepting new patients

Locations

1215 Old Main St
Hartford, KY 42347
Phone (270) 298-5401

1301 Pleasant Valley Rd
Ste 202
Owensboro, KY 42303
Phone (270) 417-7500

2211 Mayfair Dr
Ste 101
Owensboro, KY 42301
Phone (270) 688-1352

2211 Mayfair Dr
Ste 102
Owensboro, KY 42301
Phone (270) 688-1351

815 E Parrish Ave
Owensboro, KY 42303
Phone (270) 685-7776

815 E Parrish Ave
#330
Owensboro, KY 42303
Phone (270) 689-2373

Interoperability endpoints

  • Direct secure messaging: jmakhoul9477@direct.owensborohealth.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 11

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": "1126051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557792000000",
    "number": "1831183714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 23229",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423043229",
            "telephone_number": "270-688-1330",
            "fax_number": "270-688-1338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 PLEASANT VALLEY RD",
            "address_2": "SUITE 202",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423039774",
            "telephone_number": "270-417-7500",
            "fax_number": "270-417-7509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAKHOUL",
        "first_name": "JOHNNY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-07",
        "last_updated": "2019-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "KY",
            "license": "30942",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200056020B",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64309420",
            "state": "KY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jmakhoul9477@direct.owensborohealth.org",
            "affiliation": "N",
            "address_1": "1301 Pleasant Valley Rd",
            "address_2": "Suite 202",
            "city": "Owensboro",
            "state": "KY",
            "country_code": "US",
            "postal_code": "423039774",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Owensboro, KY

Sources for this page

Verify at the official NPI Registry.