Individual provider Active NPI

Ray Minyard Van Metre, MD

  • Otolaryngology Physician
  • Lexington, KY
National Provider Identifier
1881798148
Registry record updated Jan 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
39681 Issued in KY
Practice address
1720 Nicholasville Road
Suite 500
Lexington, KY 40503
Phone
(859) 278-1114
Fax
(859) 277-0541
NPI assigned
Sep 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 39681 KY Primary

Addresses

Primary practice location

1720 Nicholasville Road
Suite 500
Lexington, KY 40503

Mailing address

1720 Nicholasville Road
Suite 500
Lexington, KY 40503
Phone (859) 278-1114

Other identifiers 1

IdentifierTypeStateIssuer
64103344MedicaidKY

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
I20050705000102 KY Practitioner - Otolaryngology 1557307238 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
JC Edwards School of Medicine, Marshall University, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
H2 Rehabilitation Services of Kentucky, LLCGroup PAC ID 5799682688, shared by 7 NPIs, 187 clinicians
New Lexington Clinic PSCGroup PAC ID 3476457532, 329 clinicians

Practice addresses (Care Compare)

193 Glades Rd
Berea, KY 40403-2261
Phone (859) 956-1055

230 Fountain CT
Suite 230
Lexington, KY 40509-1897
Phone (859) 977-5335

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
New Lexington Clinic, PSC CurrentSince Dec 31, 2012 Accepting new patients
New Lexington Clinic PSC CurrentSince Dec 31, 2012 Accepting new patients

Locations

200 Bevins Ln
Ste A
Georgetown, KY 40324
Phone (502) 863-0722

1720 Nicholasville Rd
Ste 500
Lexington, KY 40503
Phone (859) 278-1114

1221 S Broadway
Lexington, KY 40504
Phone (859) 258-4181

230 Fountain Ct
Ste 230
Lexington, KY 40509
Phone (859) 977-5335

1012 Ival James Blvd
Ste B
Richmond, KY 40475
Phone (859) 624-3615

Interoperability endpoints

  • Direct secure messaging: ray.van.metre.1@13059.direct.athenahealth.com

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.

Hospital & facility affiliations 2

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": "1157673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358380800000",
    "number": "1881798148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1720 NICHOLASVILLE ROAD",
            "address_2": "SUITE 500",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "40503",
            "telephone_number": "859-278-1114",
            "fax_number": "859-277-0541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1720 NICHOLASVILLE ROAD",
            "address_2": "SUITE 500",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "40503",
            "telephone_number": "859-278-1114",
            "fax_number": "859-277-0541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN METRE",
        "first_name": "RAY",
        "middle_name": "MINYARD",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-08",
        "last_updated": "2013-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "KY",
            "license": "39681",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64103344",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

Verify at the official NPI Registry.