Individual provider Active NPI

Robert Edwin Elliott, M.D.

  • Psychiatry Physician
  • Lexington, KY
National Provider Identifier
1881691657
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
24615 Issued in KY
Practice address
851 Corporate Dr
Suite 203
Lexington, KY 40503-5428
Phone
(859) 219-0090
Fax
(859) 219-0339
NPI assigned
Jul 7, 2005
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 24615 KY Primary

Addresses

Primary practice location

851 Corporate Dr
Suite 203
Lexington, KY 40503-5428

Mailing address

851 Corporate Dr
Suite 203
Lexington, KY 40503-5428
Phone (859) 219-0090

Other identifiers 1

IdentifierTypeStateIssuer
64246150MedicaidKY

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
I20050621000269 KY Practitioner - Psychiatry 6002851185 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
University of Kentucky College of Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Elliott Psychiatric Services, PLLCGroup PAC ID 6103861281, 2 clinicians

Practice addresses (Care Compare)

851 Corporate Dr
Suite 203
Lexington, KY 40503-5430
Phone (859) 219-0090

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Elliott Psychiatric Services, PLLC Psychiatry CurrentSince Jun 26, 2000 Accepting new patients

Locations

851 Corporate Dr
Ste 203
Lexington, KY 40503
Phone (859) 219-0090

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, 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": "1120694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1881691657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "851 CORPORATE DR",
            "address_2": "SUITE 203",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405035428",
            "telephone_number": "859-219-0090",
            "fax_number": "859-219-0339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "851 CORPORATE DR",
            "address_2": "SUITE 203",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405035428",
            "telephone_number": "859-219-0090",
            "fax_number": "859-219-0339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLIOTT",
        "first_name": "ROBERT",
        "middle_name": "EDWIN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-07",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "KY",
            "license": "24615",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64246150",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

Verify at the official NPI Registry.