Individual provider Active NPI

Samyuktha Vani Kemparajurs, MD

  • Family Medicine Physician
  • La Grange, KY
National Provider Identifier
1902347313
Registry record updated Dec 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
53626 Issued in KY
Practice address
501 Parker PL Unit 200
La Grange, KY 40031-2229
Phone
(502) 222-7144
NPI assigned
Mar 17, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 26, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 92110 GA
Family Medicine Physician 207Q00000X 53626 KY Primary

Addresses

Primary practice location

501 Parker PL Unit 200
La Grange, KY 40031-2229

Mailing address

501 Parker PL Unit 200
La Grange, KY 40031-2229
Phone (502) 222-7144

Other practice location 1

2084 Headland Dr
East Point, GA 30344-2135
Phone (404) 965-5691

Other practice location 2

7926 Preston Hwy Ste 106
Louisville, KY 40219
Phone (502) 964-4357

Other practice location 3

215 Central Ave Ste 100
Louisville, KY 40208-1450
Phone (502) 852-0132

Other identifiers 2

IdentifierTypeStateIssuer
7100569380MedicaidKY
K255240OtherKYMEDICARE

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
I20181101001354 KY Practitioner - Family Practice 4284984030 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Lagrange Family Care Doctors P.S.C.Group PAC ID 1456320837, 2 clinicians

Practice addresses (Care Compare)

501 Parker PL
Unit 200
La Grange, KY 40031-2229
Phone (502) 222-7144

Hospital & facility affiliations

  • Baptist Health Lagrange Hospital, La Grange, KY, CCN 180138

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Community Medical Associates, Inc. CurrentSince Sep 27, 2018 Accepting new patients
Lagrange Family Care Doctors P.S.C. Family Medicine CurrentSince May 1, 2019 Accepting new patients
Community Medical Associates, Inc. Current Accepting new patients
Community Medical Associates, Inc. CurrentSince Sep 27, 2018 Accepting new patients

Locations

501 Parker Pl
Unit 200
Lagrange, KY 40031
Phone (502) 222-7144

7926 Preston Hwy
Ste 106
Louisville, KY 40219
Phone (502) 964-4357

825 Barret Ave
Louisville, KY 40204
Phone (502) 272-5165

Interoperability endpoints

  • Direct secure messaging: samyukthakemparajurs@lgfcd.allscriptsdirect.net
  • Direct secure messaging: skemparajurs128156@direct.nortonhealthcare.org

Organizations & group practices 4

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": "1489708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735171200000",
    "number": "1902347313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 PARKER PL UNIT 200",
            "city": "LA GRANGE",
            "state": "KY",
            "postal_code": "400312229",
            "telephone_number": "502-222-7144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 PARKER PL UNIT 200",
            "city": "LA GRANGE",
            "state": "KY",
            "postal_code": "400312229",
            "telephone_number": "502-222-7144"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2084 Headland Dr",
            "address_purpose": "LOCATION",
            "city": "East Point",
            "state": "GA",
            "postal_code": "303442135",
            "country_code": "US",
            "telephone_number": "404-965-5691",
            "fax_number": "404-698-1478",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7926 Preston Hwy Ste 106",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "40219",
            "country_code": "US",
            "telephone_number": "502-964-4357",
            "fax_number": "502-966-5948",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "215 Central Ave Ste 100",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402081450",
            "country_code": "US",
            "telephone_number": "502-852-0132",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KEMPARAJURS",
        "first_name": "SAMYUKTHA",
        "middle_name": "VANI",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-03-17",
        "last_updated": "2024-12-26",
        "certification_date": "2024-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "92110",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "53626",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100569380",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "K255240",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in La Grange, KY

Sources for this page

Verify at the official NPI Registry.