Individual provider Active NPI

John Randall Resser, M.D.

  • Otolaryngology Physician
  • Paducah, KY
National Provider Identifier
1891758124
Registry record updated Dec 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
35590 Issued in KY
Practice address
2605 Kentucky Ave
Suite 601
Paducah, KY 42003-3800
Phone
(270) 408-4368
Fax
(270) 408-3272
NPI assigned
Apr 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2020

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 35590 KY Primary

Addresses

Primary practice location

2605 Kentucky Ave
Suite 601
Paducah, KY 42003-3800

Mailing address

2605 Kentucky Ave
Suite 306
Paducah, KY 42003-3800
Phone (270) 415-7653

Other identifiers 1

IdentifierTypeStateIssuer
64007693MedicaidKY

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jresser8475@bhkydirect.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, KY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20031217000915 TN Practitioner - Otolaryngology 1850298878 Reassigns benefits to 1 organization
I20110309000474 KY Practitioner - Otolaryngology 1850298878 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
University of Cincinnati College of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baptist Health Medical Group IncGroup PAC ID 5597867184, 2,431 clinicians

Practice addresses (Care Compare)

1109 E Reelfoot Ave
Suite 1
Union City, TN 38261-5856
Phone (270) 408-4368

2605 Kentucky Ave
Suite 601
Paducah, KY 42003-3806
Phone (270) 408-3215

Hospital & facility affiliations

  • Baptist Health Paducah Hospital, Paducah, KY, CCN 180104

Merit-based Incentive Payment System (MIPS)

Final score
94.29 of 100Reported as apm
Quality
87.32
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Melanoma (skin cancer) excision1-10
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Health Medical Group Inc Otolaryngology CurrentSince Jun 1, 2015 Accepting new patients
Baptist Health Medical Group Inc CurrentSince Jun 1, 2015 Accepting new patients
Baptist Health Medical Group Inc Past Accepting new patients

Locations

503 George McClain Dr
Benton, KY 42025
Phone (270) 527-4800

2603 Kentucky Ave
Ste 304
Paducah, KY 42003
Phone (270) 415-4800

2605 Kentucky Ave
Ste 601
Paducah, KY 42003
Phone (270) 408-3238

2605 Kentucky Ave
Ste 306
Paducah, KY 42003
Phone (270) 415-7653

1201 Bishop St
Fl 2
Union City, TN 38261
Phone (270) 408-4368

1201 Bishop St
Union City, TN 38261
Phone (423) 698-6061

1109 E Reelfoot Ave
Ste 1
Union City, TN 38261
Phone (270) 408-4368

Organizations & group practices 3

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 1

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": "1144454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607385600000",
    "number": "1891758124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2605 KENTUCKY AVE",
            "address_2": "SUITE 306",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420033800",
            "telephone_number": "270-415-7653",
            "fax_number": "270-575-8359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2605 KENTUCKY AVE",
            "address_2": "SUITE 601",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420033800",
            "telephone_number": "270-408-4368",
            "fax_number": "270-408-3272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RESSER",
        "first_name": "JOHN",
        "middle_name": "RANDALL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-08",
        "last_updated": "2020-12-08",
        "certification_date": "2020-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "KY",
            "license": "35590",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64007693",
            "state": "KY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jresser8475@bhkydirect.com",
            "affiliation": "N",
            "address_1": "2605 Kentucky Ave",
            "address_2": "Suite 601",
            "city": "Paducah",
            "state": "KY",
            "country_code": "US",
            "postal_code": "420033800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Paducah, KY

Sources for this page

Verify at the official NPI Registry.