Individual provider Active NPI

John T Dvorak, MD

  • Colon & Rectal Surgery Physician
  • Lexington, KY
National Provider Identifier
1902807985
Registry record updated Sep 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X
License
36525 Issued in KY
Practice address
2620 Wilhite Dr
Lexington, KY 40503-3385
Phone
(859) 278-6031
Fax
(859) 277-7015
NPI assigned
Aug 2, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Colon & Rectal Surgery Physician 208C00000X 36525 KY Primary

Addresses

Primary practice location

2620 Wilhite Dr
Lexington, KY 40503-3385

Mailing address

2620 Wilhite Dr
Lexington, KY 40503-3385
Phone (859) 278-6031

Other identifiers 1

IdentifierTypeStateIssuer
64035256MedicaidKY

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
I20101111001193 KY Practitioner - Colorectal Surgery (Proctology) 0941495204 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Colorectal Surgery (Proctology)
Education
Geisel School of Medicine at Dartmouth, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Colorectal Surgical and Gastroenterology Associates PSCGroup PAC ID 4385616127, 10 clinicians

Practice addresses (Care Compare)

2620 Wilhite Dr
Lexington, KY 40503-3385
Phone (859) 278-6031

Hospital & facility affiliations

  • Saint Joseph Hospital Hospital, Lexington, KY, CCN 180010
  • Saint Joseph East Hospital, Lexington, KY, CCN 180143

Merit-based Incentive Payment System (MIPS)

Final score
90.99 of 100Reported as group
Quality
89.98
Promoting interoperability
96
Improvement activities
40
Cost
83.32

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy183
Melanoma (skin cancer) excision1-10
Removal of tissue1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
36525KYMDColon & Rectal Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Colorectal Surgical & Gastroenterology Associates PSC Colon & Rectal Surgery CurrentSince Aug 1, 2001 Accepting new patients
Colorectal Surgical & Gastroenterology Associates PSC CurrentSince Aug 1, 2001 Accepting new patients
Saint Joseph Health System, Inc Past Accepting new patients

Locations

1 Saint Joseph Dr
Lexington, KY 40504
Phone (502) 350-5000

2620 Wilhite Dr
Lexington, KY 40503
Phone (859) 278-6031

Interoperability endpoints

  • Direct secure messaging: johndvorak@csga.allscriptsdirect.net

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 4

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": "1122940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1285286400000",
    "number": "1902807985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2620 WILHITE DR",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405033385",
            "telephone_number": "859-278-6031",
            "fax_number": "859-277-7015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2620 WILHITE DR",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405033385",
            "telephone_number": "859-278-6031",
            "fax_number": "859-277-7015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DVORAK",
        "first_name": "JOHN",
        "middle_name": "T",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-02",
        "last_updated": "2010-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": "KY",
            "license": "36525",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64035256",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

Verify at the official NPI Registry.