Individual provider Active NPI

Kyle Douglas Parish, MD

  • Sports Medicine (Family Medicine) Physician
  • Paducah, KY
National Provider Identifier
1881622751
Registry record updated Aug 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X
License
38909 Issued in KY
Practice address
2407 New Holt Rd
Paducah, KY 42001-7455
Phone
(270) 443-0010
Fax
(270) 558-1492
NPI assigned
Jun 29, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 38909 KY
Adolescent Medicine (Family Medicine) Physician 207QA0000X 38909 KY
Adult Medicine Physician 207QA0505X 38909 KY
Sports Medicine (Family Medicine) Physician 207QS0010X 38909 KY Primary

Addresses

Primary practice location

2407 New Holt Rd
Paducah, KY 42001-7455

Mailing address

2407 New Holt Rd
Paducah, KY 42001-7455
Phone (270) 443-0010

Other identifiers 1

IdentifierTypeStateIssuer
64107030MedicaidKY

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
I20050913000272 KY Practitioner - Family PracticePractitioner - Sports Medicine 8628001492 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Sports Medicine
Education
University of Louisville School of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2407 New Holt Rd
Paducah, KY 42001-7455
Phone (270) 443-0011

Hospital & facility affiliations

  • Mercy Health - Home Care, Paducah Home health agency, Paducah, KY, CCN 187100
  • Baptist Health Home Care Ky, LLC Dba Baptist Home Health Care Home health agency, Louisville, KY, CCN 187091
  • Baptist Health Paducah Hospital, Paducah, KY, CCN 180104
  • Mercy Health - Lourdes Hospital Hospital, Paducah, KY, CCN 180102
  • Marshall County Hospital Hospital, Benton, KY, CCN 181327

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Kyle D Parish MD PSC Sports Medicine CurrentSince Dec 17, 2007 Accepting new patients

Locations

2407 New Holt Rd
Paducah, KY 42001
Phone (270) 443-0010

1532 Lone Oak Rd
Ste 305
Paducah, KY 42003

Interoperability endpoints

  • Direct secure messaging: kyle.parish.1@18794.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/18794/brand/1/csg/1/fhir/r4

Organizations & group practices 1

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1151539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755043200000",
    "number": "1881622751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2407 NEW HOLT RD",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420017455",
            "telephone_number": "270-443-0010",
            "fax_number": "270-558-1492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2407 NEW HOLT RD",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420017455",
            "telephone_number": "270-443-0010",
            "fax_number": "270-558-1492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARISH",
        "first_name": "KYLE",
        "middle_name": "DOUGLAS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-29",
        "last_updated": "2025-08-13",
        "certification_date": "2025-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "38909",
            "primary": false
        },
        {
            "code": "207QA0000X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adolescent Medicine",
            "state": "KY",
            "license": "38909",
            "primary": false
        },
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "KY",
            "license": "38909",
            "primary": false
        },
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "KY",
            "license": "38909",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64107030",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Paducah, KY

Sources for this page

Verify at the official NPI Registry.