Steven A Conrotto, MD
Individual provider Active NPI Family Medicine Physician · West Liberty, KY
NPI 1851440887 · NPPES record last updated Aug 5, 2008
Key facts
- NPI
- 1851440887
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 28990 (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
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Oral Roberts University School of Medicine, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Faith Family Practice PLLC
Practice addresses (Care Compare)
801 Main St
West Liberty, KY 41472-1021
Phone (606) 743-1422
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040211000132 | KY | Practitioner - Family Practice |
4082508072 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28990 | KY | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Our Lady of the Way Hospital, Inc | Family Medicine | Past | Accepting new patients |
| Team Radiology Physicians, PA | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 28990 | KY | Yes |
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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 64698848 | Medicaid | KY |
Other providers in West Liberty, KY
- Jalah Clinger
- Clinical Counseling Practice, PLLC
- Brandi N Collins
- Commonwealth Urology West Liberty
- Megan Conn
- Becky Jean Cook
- Lucinda J Crager
- L Brent Davis
- Diversicare Leasing Corp.
- Renee Dousay
All providers in West Liberty, KY · Family Medicine Physician in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 5, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.