Individual provider Active NPI

Deborah R. Sillins, M.D.

  • Plastic Surgery Physician
  • Edgewood, KY
National Provider Identifier
1912005232
Registry record updated Sep 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
28900 Issued in KY
Practice address
3005 Dixie Hwy
Suite 240
Edgewood, KY 41017-2352
Phone
(859) 341-3309
Fax
(859) 578-4642
NPI assigned
Sep 20, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 10, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X 28900 KY Primary

Addresses

Primary practice location

3005 Dixie Hwy
Suite 240
Edgewood, KY 41017-2352

Mailing address

3005 Dixie Hwy
Suite 240
Edgewood, KY 41017-2352
Phone (859) 341-3309

Other identifiers 1

IdentifierTypeStateIssuer
64289002MedicaidKY

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
I20190925002619 KY Order and Referring Only - Plastic and Reconstructive SurgeryPractitioner - Plastic and Reconstructive Surgery 2466467667

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1221004800000",
    "number": "1912005232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3005 DIXIE HWY",
            "address_2": "SUITE 240",
            "city": "EDGEWOOD",
            "state": "KY",
            "postal_code": "410172352",
            "telephone_number": "859-341-3309",
            "fax_number": "859-578-4642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3005 DIXIE HWY",
            "address_2": "SUITE 240",
            "city": "EDGEWOOD",
            "state": "KY",
            "postal_code": "410172352",
            "telephone_number": "859-341-3309",
            "fax_number": "859-578-4642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SILLINS",
        "first_name": "DEBORAH",
        "middle_name": "R.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-20",
        "last_updated": "2008-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "KY",
            "license": "28900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64289002",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Edgewood, KY

Sources for this page

Verify at the official NPI Registry.