Individual provider Active NPI

Dylan Girard Kluck, M.D.

  • Pediatric Orthopaedic Surgery Physician
  • Lexington, KY
National Provider Identifier
1881076784
Registry record updated May 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Orthopaedic Surgery PhysicianTaxonomy code 207XP3100X
License
57246 Issued in KY
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

Updated by the provider on May 5, 2025

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220902002147 KY Practitioner - Orthopedic SurgeryPractitioner - General Surgery 1658641006 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic SurgeryAlso: General Surgery
Education
Washington University School of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kentucky Medical Services Foundation, IncGroup PAC ID 5698689909, 949 clinicians

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

LicenseStateTypeSpecialty
57246KYMDOrthopaedic Surgery Physician
TP988KYMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Kentucky CurrentSince Sep 1, 2022 Accepting new patients
Kentucky Medical Services Foundation, Inc CurrentSince Sep 1, 2022 Accepting new patients
Shriners Hospitals for Children Pediatric Orthopaedic Surgery CurrentSince Oct 5, 2022 Accepting new patients
Shriners Hospitals for Children CurrentSince Oct 5, 2022 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.

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

Verify at the official NPI Registry.