Individual provider Active NPI

Sally Nau, M.D.

  • Internal Medicine Physician
  • Milford, OH
National Provider Identifier
1871851964
Registry record updated Sep 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35.133119 Issued in OH
Practice address
1171 State Route 28
Milford, OH 45150-2154
Phone
(513) 831-4811
Fax
(513) 831-0169
NPI assigned
Apr 26, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 48076 KY
Internal Medicine Physician 207R00000X 35.133119 OH Primary

Addresses

Primary practice location

1171 State Route 28
Milford, OH 45150-2154

Mailing address

1171 State Route 28
Milford, OH 45150-2154
Phone (513) 831-4811

Other identifiers 1

IdentifierTypeStateIssuer
0344290MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35.133119OHMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kentucky Medical Services Foundation, Inc Internal Medicine CurrentSince Jul 5, 2015 Accepting new patients
Internal Medicine & Geriatric Care Internal Medicine PastSince Jun 1, 2019 Accepting new patients

Locations

900 S Limestone
Lexington, KY 40536
Phone (859) 218-0483

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

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1335398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568073600000",
    "number": "1871851964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1171 STATE ROUTE 28",
            "city": "MILFORD",
            "state": "OH",
            "postal_code": "451502154",
            "telephone_number": "513-831-4811",
            "fax_number": "513-831-0169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1171 STATE ROUTE 28",
            "city": "MILFORD",
            "state": "OH",
            "postal_code": "451502154",
            "telephone_number": "513-831-4811",
            "fax_number": "513-831-0169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAU",
        "first_name": "SALLY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-26",
        "last_updated": "2019-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KY",
            "license": "48076",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35.133119",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0344290",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Milford, OH

Sources for this page

Verify at the official NPI Registry.