Active NPI
Mautin Temitope Barry-Hundeyin, M.D.
- Surgical Oncology Physician
- Lexington, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Oncology Physician
- License
- TP950
- Practice address
- 800 Rose St FL 1
Lexington, KY 40536-5501 - Phone
- (859) 323-6542
- Fax
- (859) 323-2074
- NPI assigned
- Jul 7, 2012
- Last updated
- Aug 18, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 252752 | MA | |
| Surgical Oncology Physician | 2086X0206X | TP950 | KY | Primary |
Addresses
Primary practice location
800 Rose St FL 1
Lexington, KY 40536-5501
Mailing address
800 Rose St FL 1
Lexington, KY 40536-7001
Phone (859) 259-4488
Other practice location 1
110 Francis St
Suite 9B
Boston, MA 02215-5501
Phone (617) 632-9511
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Surgical Oncology
- Education
- Pennsylvania State University College of Medicine, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
800 Rose St
Lexington, KY 40536-0001
Phone (859) 323-5000
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.77 of 100
- Quality
- 68.25
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 72.39
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TP950 | KY | MD | Surgery Physician |
| 252752 | MA | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kentucky Medical Services Foundation, Inc | Current | Accepting new patients | |
| University of Kentucky | Current | Accepting new patients | |
| University of Kentucky | Past | Accepting new patients |
Locations
2400 Greatstone Pt
Lexington, KY 40504
Phone (859) 257-9800
800 Rose St
Lexington, KY 40536
Phone (859) 257-8562
800 Rose St
Fl 1
Lexington, KY 40536
Phone (859) 323-6542
Interoperability endpoints
- mhundeyin266566@ukhcdirect.org
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Internal Medicine Physician
- Lexington, KY
- NPI 1326091448
-
- Diagnostic Radiology Physician
- Lexington, KY
- NPI 1770771974
-
- General Acute Care Hospital
- Lexington, KY
- NPI 1518911338
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Lexington, KY
- NPI 1518911338
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1341619200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660780800000",
"number": "1902161896",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 ROSE ST FL 1",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405367001",
"telephone_number": "859-259-4488"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 ROSE ST FL 1",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405365501",
"telephone_number": "859-323-6542",
"fax_number": "859-323-2074"
}
],
"practiceLocations": [
{
"address_1": "110 Francis St",
"address_2": "Suite 9B",
"address_purpose": "LOCATION",
"city": "Boston",
"state": "MA",
"postal_code": "022155501",
"country_code": "US",
"telephone_number": "617-632-9511",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BARRY-HUNDEYIN",
"first_name": "MAUTIN",
"middle_name": "TEMITOPE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-07-07",
"last_updated": "2022-08-18",
"certification_date": "2022-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "MA",
"license": "252752",
"primary": false
},
{
"code": "2086X0206X",
"taxonomy_group": "",
"desc": "Surgery, Surgical Oncology",
"state": "KY",
"license": "TP950",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lexington, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.