Individual provider Active NPI

David Shraberg, MD

  • Psychiatry Physician
  • Lexington, KY
National Provider Identifier
1902816010
Registry record updated Jun 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
19385 Issued in KY
Practice address
800 Rose St
Pav a, H, & Markey
Lexington, KY 40536
Phone
(859) 257-1000
Fax
(859) 323-1194
NPI assigned
Aug 9, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 19385 KY Primary

Addresses

Primary practice location

800 Rose St
Pav a, H, & Markey
Lexington, KY 40536

Mailing address

135 E Maxwell St
Suite 300
Lexington, KY 40508-2640
Phone (859) 263-4341

Other practice location 1

135 E Maxwell St
Suite 300
Lexington, KY 40508-2640
Phone (859) 263-3888

Other identifiers 1

IdentifierTypeStateIssuer
64193857MedicaidKY

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
I20040713000910 KY Practitioner - NeuropsychiatryPractitioner - NeurologyPractitioner - Psychiatry 4789662966 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neuropsychiatry
Education
Vanderbilt University School of Medicine, 1973
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ridge Outpatient Counseling, LLCGroup PAC ID 5991690471, 7 clinicians

Practice addresses (Care Compare)

3050 Rio Dosa Dr
Lexington, KY 40509-1540
Phone (859) 268-6475

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University of Kentucky Psychiatry CurrentSince Jul 1, 2021 Accepting new patients
Uhs of Ridge LLC Past Accepting new patients
Associated Physician Services of Lexington, LLC Psychiatry Past Accepting new patients
Beaumont Psychiatry PLLC Psychiatry Past Accepting new patients

Locations

135 E Maxwell St
Ste 300
Lexington, KY 40508
Phone (859) 263-3888

2400 Greatstone Pt
Lexington, KY 40504
Phone (859) 257-9800

101 Prosperous Pl
#190
Lexington, KY 40509
Phone (859) 263-3888

800 Rose St
Lexington, KY 40536
Phone (859) 257-8562

101 Prosperous Pl
Ste 190
Lexington, KY 40509
Phone (859) 456-2100

800 Rose St
#A
Lexington, KY 40536

310 S Limestone
Lexington, KY 40508
Phone (606) 252-6612

Organizations & group practices 5

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623628800000",
    "number": "1902816010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 E MAXWELL ST",
            "address_2": "SUITE 300",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405082640",
            "telephone_number": "859-263-4341",
            "fax_number": "859-263-7441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 ROSE ST",
            "address_2": "PAV A, H, & MARKEY",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "40536",
            "telephone_number": "859-257-1000",
            "fax_number": "859-323-1194"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "135 E Maxwell St",
            "address_2": "Suite 300",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "KY",
            "postal_code": "405082640",
            "country_code": "US",
            "telephone_number": "859-263-3888",
            "fax_number": "859-263-9439",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHRABERG",
        "first_name": "DAVID",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-09",
        "last_updated": "2021-06-14",
        "certification_date": "2021-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "KY",
            "license": "19385",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64193857",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

Verify at the official NPI Registry.