Individual provider Active NPI

Steven A Conrotto, MD

  • Family Medicine Physician
  • West Liberty, KY
National Provider Identifier
1851440887
Registry record updated Aug 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
28990 Issued in KY
Practice address
801 N.Main STR.
Faith Family Practice
West Liberty, KY 41472-1021
Phone
(606) 743-1422
Fax
(606) 743-3044
NPI assigned
Jan 9, 2007
Last updated
Aug 5, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 28990 KY Primary

Addresses

Primary practice location

801 N.Main STR.
Faith Family Practice
West Liberty, KY 41472-1021

Mailing address

385 H Hale Dr
East Point, KY 41216-8805
Phone (606) 789-7492

Other identifiers 1

IdentifierTypeStateIssuer
64698848MedicaidKY

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
I20040211000132 KY Practitioner - Family PracticePractitioner - Emergency Medicine 4082508072 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Emergency Medicine
Education
Oral Roberts University School of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Faith Family Practice PLLCGroup PAC ID 1658306816, 2 clinicians

Practice addresses (Care Compare)

801 Main St
West Liberty, KY 41472-1021
Phone (606) 743-1422

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Our Lady of the Way Hospital, Inc Family Medicine Past Accepting new patients
Team Radiology Physicians, PA Past Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1217894400000",
    "number": "1851440887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "385 H HALE DR",
            "city": "EAST POINT",
            "state": "KY",
            "postal_code": "412168805",
            "telephone_number": "606-789-7492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 N.MAIN STR.",
            "address_2": "FAITH FAMILY PRACTICE",
            "city": "WEST LIBERTY",
            "state": "KY",
            "postal_code": "414721021",
            "telephone_number": "606-743-1422",
            "fax_number": "606-743-3044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONROTTO",
        "first_name": "STEVEN",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-09",
        "last_updated": "2008-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "28990",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64698848",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Liberty, KY

Sources for this page

Verify at the official NPI Registry.