Active NPI
Dylan Girard Kluck, M.D.
- Pediatric Orthopaedic Surgery Physician
- Lexington, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Orthopaedic Surgery Physician
- License
- 57246
- Practice address
- 740 S Limestone Ste D135
Lexington, KY 40536-3924 - Phone
- (859) 323-5533
- Fax
- (859) 257-3634
- NPI assigned
- Jun 26, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 57246 | KY | |
| Orthopaedic Surgery Physician | 207X00000X | TP988 | KY | |
| Pediatric Orthopaedic Surgery Physician | 207XP3100X | TP988 | KY | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Pediatric Orthopaedic Surgery Physician | 207XP3100X | 57246 | KY | Primary |
Addresses
Primary practice location
740 S Limestone Ste D135
Lexington, KY 40536-3924
Mailing address
Kentucky Clinic, 740 South Limestone, K401
Univ of Kentucky Department of Orthopedics
Lexington, KY 40536-0284
Phone (859) 323-5533
Other practice location 1
110 Conn Ter
Lexington, KY 40508-3206
Phone (859) 268-5622
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Orthopedic Surgery
- Education
- Washington University School of Medicine, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
740 S Limestone St
Lexington, KY 40508-1683
Phone (859) 257-8562
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 57246 | KY | MD | Orthopaedic Surgery Physician |
| TP988 | KY | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Kentucky | Current | Accepting new patients | |
| Kentucky Medical Services Foundation, Inc | Current | Accepting new patients | |
| Shriners Hospitals for Children | Pediatric Orthopaedic Surgery | Current | Accepting new patients |
| Shriners Hospitals for Children | Current | Accepting new patients | |
| Shriners Hospitals for Children | Current | Accepting new patients | |
| Commission for Children With Special Health Car | Past | Accepting new patients | |
| Shriners Hospitals for Children | Orthopaedic Surgery | Past | Accepting new patients |
Locations
800 Rose St
Lexington, KY 40536
Phone (859) 257-8562
2400 Greatstone Pt
Lexington, KY 40504
Phone (859) 257-9800
215 Radio Dr
Ste 100
Woodbury, MN 55125
Phone (612) 596-6100
Organizations & group practices 7
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.
-
- Internal Medicine Physician
- Lexington, KY
- NPI 1326091448
-
- Medical Specialty Clinic/Center
- Lexington, KY
- NPI 1801249925
-
- Diagnostic Radiology Physician
- Lexington, KY
- NPI 1770771974
-
- Pediatric Orthopaedic Surgery Physician
- Lexington, KY
- NPI 1457808495
-
- Clinic/Center
- Aiea, HI
- NPI 1568299857
-
- Public Health or Welfare Agency
- Louisville, KY
- NPI 1831197953
-
- Orthopaedic Surgery Physician
- Lexington, KY
- NPI 1700223559
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1435276800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1746403200000",
"number": "1881076784",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "KENTUCKY CLINIC, 740 SOUTH LIMESTONE, K401",
"address_2": "UNIV OF KENTUCKY DEPARTMENT OF ORTHOPEDICS",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405360284",
"telephone_number": "859-323-5533"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "740 S LIMESTONE STE D135",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405363924",
"telephone_number": "859-323-5533",
"fax_number": "859-257-3634"
}
],
"practiceLocations": [
{
"address_1": "110 Conn Ter",
"address_purpose": "LOCATION",
"city": "Lexington",
"state": "KY",
"postal_code": "405083206",
"country_code": "US",
"telephone_number": "859-268-5622",
"fax_number": "859-268-5655",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KLUCK",
"first_name": "DYLAN",
"middle_name": "GIRARD",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-06-26",
"last_updated": "2025-05-05",
"certification_date": "2025-05-05",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "KY",
"license": "57246",
"primary": false
},
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "KY",
"license": "TP988",
"primary": false
},
{
"code": "207XP3100X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Pediatric Orthopaedic Surgery",
"state": "KY",
"license": "TP988",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207XP3100X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Pediatric Orthopaedic Surgery",
"state": "KY",
"license": "57246",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lexington, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.