Individual provider Active NPI

Vicente Yu Kaw Jr., MD

  • Cardiovascular Disease Physician
  • Middlesboro, KY
National Provider Identifier
1861506552
Registry record updated Jul 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
28663 Issued in KY
Practice address
3602 Cumberland Ave
Arh Professional Building
Middlesboro, KY 40965-2614
Phone
(606) 242-1330
Fax
(606) 242-1337
NPI assigned
Aug 18, 2006
Last updated
Jul 19, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 19, 2012

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 28663 KY Primary

Addresses

Primary practice location

3602 Cumberland Ave
Arh Professional Building
Middlesboro, KY 40965-2614

Mailing address

PO Box 2430
3602 West Cumberland Avenue
Middlesboro, KY 40965-4430
Phone (606) 242-1330

Other identifiers 1

IdentifierTypeStateIssuer
64286636MedicaidKY

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
I20100823000945 KY Practitioner - Internal Medicine 5991839284 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
28663KYMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Appalachian Regional Healthcare, Inc. Current Accepting new patients
Appalachian Regional Healthcare, Inc Current Accepting new patients
Appalachian Regional Healthcare, Inc. CurrentSince Jun 6, 2017 Accepting new patients
Appalachian Regional Healthcare, Inc CurrentSince Aug 1, 2011 Accepting new patients

Locations

37 Ball Park Rd
Harlan, KY 40831
Phone (606) 263-3900

100 Airport Gardens Rd
Hazard, KY 41701
Phone (606) 216-5145

3602 Cumberland Ave
Middlesboro, KY 40965
Phone (606) 248-0072

2004 Cumberland Ave
Ste 100
Middlesboro, KY 40965
Phone (606) 248-3015

3600 Cumberland Ave
Middlesboro, KY 40965
Phone (606) 237-1700

3004 Cumberland Ave
Middlesboro, KY 40965
Phone (606) 248-3324

306 Hospital Dr
South Williamson, KY 41503
Phone (606) 237-1700

Interoperability endpoints

  • Direct secure messaging: vicentekaw@arh.medalliesdirect.net

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.

NPI Registry JSON

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

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1342656000000",
    "number": "1861506552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2430",
            "address_2": "3602 WEST CUMBERLAND AVENUE",
            "city": "MIDDLESBORO",
            "state": "KY",
            "postal_code": "409654430",
            "telephone_number": "606-242-1330",
            "fax_number": "606-242-1337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3602 CUMBERLAND AVE",
            "address_2": "ARH PROFESSIONAL BUILDING",
            "city": "MIDDLESBORO",
            "state": "KY",
            "postal_code": "409652614",
            "telephone_number": "606-242-1330",
            "fax_number": "606-242-1337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAW",
        "first_name": "VICENTE",
        "middle_name": "YU",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-18",
        "last_updated": "2012-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "KY",
            "license": "28663",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64286636",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Middlesboro, KY

Sources for this page

Verify at the official NPI Registry.