Ruben Cuadrado, MD
Individual provider Active NPI Gastroenterology Physician · Mayfield, KY
NPI 1902868532 · NPPES record last updated Mar 6, 2008
Key facts
- NPI
- 1902868532
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Gastroenterology Physician 207RG0100X
- License
- 30255 (KY)
- Practice address
- 1029 Medical Center Cir
Ste 306
Mayfield, KY 42066-1189 - Phone
- (270) 251-4575
- Fax
- (270) 251-4577
- NPI assigned
- Apr 6, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 8
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Gastroenterology
- Education
- JS Weill Medical College, Cornell University, 1976
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Pinelake Physician Practice LLC
Practice addresses (Care Compare)
1029 Medical Ctr Cir
Mayfield, KY 42066-1189
1099 Medical Ctr Cir
Mayfield, KY 42066-1179
Phone (270) 251-4250
Hospital & facility affiliations
- Jackson Purchase Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 107 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 150 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040611001492 | KY | Practitioner - Gastroenterology | 5395728075 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30255 | KY | MD | Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pinelake Physician Practice, LLC | Current | Accepting new patients | |
| Pinelake Physician Practice, LLC | Current |
Accepting new patients | |
| Pinelake Physician Practice, LLC | Current |
Accepting new patients |
Locations
617 Old Symsonia Rd
Benton, KY 42025
Phone (270) 527-2411
1029 Medical Center Cir
Ste 306
Mayfield, KY 42066
Phone (270) 251-4575
1029 Medical Center Cir
Ste 406
Mayfield, KY 42066
Phone (270) 247-8347
1029 Medical Center Cir
Ste 408
Mayfield, KY 42066
Phone (270) 251-4060
1029 Medical Center Cir
Ste 401
Mayfield, KY 42066
Phone (270) 251-4590
Interoperability endpoints
- ruben.cuadrado.1@19475.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | 30255 | KY | Yes |
Addresses
Primary practice location
1029 Medical Center Cir
Ste 306
Mayfield, KY 42066-1189
Mailing address
1029 Medical Center Cir
Ste 306
Mayfield, KY 42066-1189
Phone (270) 251-4575
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 64302557 | Medicaid | KY |
Other providers in Mayfield, KY
- Courtney L Coleman
- Sydney Coles
- Kelsey Colley
- Storm Corey
- Olin Coxe Covington
- Dale E. Jones, MD PSC
- Sarah Darnell
- Laura Dassing
- Dulce Amor Alcuino Davis
- Kelly Denise Davis
All providers in Mayfield, KY · Gastroenterology Physician in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 6, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.