Individual provider Active NPI

Vinod Kumar Muniswamy, M.D., M.P.H

  • Pain Medicine (Anesthesiology) Physician
  • Georgetown, KY
National Provider Identifier
1891055877
Registry record updated Apr 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
KY49338 Issued in KY
Practice address
1140 Lexington Rd
Georgetown, KY 40324-9330
Phone
(502) 570-3767
Fax
(502) 570-3766
NPI assigned
May 23, 2012
Last updated
Apr 27, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X KY49338 KY Primary
Physical Medicine & Rehabilitation Physician 208100000X R2993 KY

Addresses

Primary practice location

1140 Lexington Rd
Georgetown, KY 40324-9330

Mailing address

330 Seven Springs Way
Brentwood, TN 37027-5098
Phone (615) 920-7906

Other identifiers 2

IdentifierTypeStateIssuer
49338OtherKYSTATE LICENSE
7100269770MedicaidKY

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
I20170504001631 KY Practitioner - Anesthesiology 7810292364 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Kentucky Mso LLCGroup PAC ID 0749450633, 53 clinicians
Bourbon Physician Practice LLCGroup PAC ID 8729226097, 11 clinicians

Practice addresses (Care Compare)

105 Prather Path
Georgetown, KY 40324-9206

1140 Lexington Rd
Georgetown, KY 40324-9330

1152 Lexington Rd
Georgetown, KY 40324-9330
Phone (502) 868-5603

1154 Lexington Rd
Georgetown, KY 40324-9330
Phone (502) 863-3303

175 Hospital Dr
Suite 120
Georgetown, KY 40324
Phone (502) 570-2324

225 Hospital Dr
Suite 255
Winchester, KY 40391-7625
Phone (859) 737-9900

360 Amsden Ave
Versailles, KY 40383-1851

8 Linville Dr
Suite C
Paris, KY 40361-2170
Phone (502) 570-3767

9 Linville Dr
Paris, KY 40361-2129
Phone (859) 987-3600

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
KY49338KYMDPain Medicine (Anesthesiology) Physician
R2993KYMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kentucky Mso LLC Current Accepting new patients
Bourbon Physician Practice LLC Current Accepting new patients
Kentucky Mso, LLC CurrentSince Jun 26, 2017 Accepting new patients
Bourbon Physician Practice LLC CurrentSince Jul 1, 2025 Accepting new patients
Kentucky Mso LLC CurrentSince Jun 26, 2017 Accepting new patients
Bourbon Physician Practice LLC CurrentSince Jul 1, 2025 Accepting new patients
Kentucky Mso LLC Past Accepting new patients
Eastern Kentucky Recovery, LLC Past Accepting new patients
Carlisle Clinic, PSC Past Accepting new patients

Locations

1210 KY Highway 36 E
Cynthiana, KY 41031
Phone (859) 234-2300

1140 Lexington Rd
Georgetown, KY 40324
Phone (502) 868-1100

1140 Lexington Rd
Ste 105
Georgetown, KY 40324
Phone (502) 868-5660

8 Linville Dr
Ste C
Paris, KY 40361
Phone (502) 570-3767

330 Seven Springs Way
Brentwood, TN 37027
Phone (615) 920-7780

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/19475/brand/10/csg/41/fhir/r4
  • Direct secure messaging: vinod.muniswamy.1@19475.direct.athenahealth.com

Organizations & group practices 10

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.

Hospital & facility affiliations 5

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": "1337731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493251200000",
    "number": "1891055877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 SEVEN SPRINGS WAY",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370275098",
            "telephone_number": "615-920-7906",
            "fax_number": "615-920-8775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1140 LEXINGTON RD",
            "city": "GEORGETOWN",
            "state": "KY",
            "postal_code": "403249330",
            "telephone_number": "502-570-3767",
            "fax_number": "502-570-3766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUNISWAMY",
        "first_name": "VINOD",
        "middle_name": "KUMAR",
        "credential": "M.D., M.P.H",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-05-23",
        "last_updated": "2017-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "KY",
            "license": "KY49338",
            "primary": true
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "KY",
            "license": "R2993",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "49338",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100269770",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Georgetown, KY

Sources for this page

Verify at the official NPI Registry.