Active NPI
Craig W. Irwin, M.D.
- Internal Medicine Physician
- Lexington, KY
National Provider Identifier
1922024124
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 36288
- Practice address
- 630 Southpoint Dr
Lexington, KY 40515-6350 - Phone
- (859) 272-1928
- Fax
- (859) 271-9601
- NPI assigned
- Jul 14, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 36288 | KY | Primary |
| Pediatrics Physician | 208000000X | 36288 | KY |
Addresses
Primary practice location
630 Southpoint Dr
Lexington, KY 40515-6350
Mailing address
630 Southpoint Dr
Lexington, KY 40515-6350
Phone (859) 272-1928
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 400501 | Other | KY | MEDICARE LAB GRP |
| 64026065 | Medicaid | KY | |
| 37903705 | Other | KY | MEDICAID LAB GRP |
| CB5773 | Other | GA | RR MEDICARE GRP |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- University of Tennessee, HSC, College of Medicine, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
630 Southpoint Dr
Lexington, KY 40515-6350
Phone (859) 272-1928
Hospital & facility affiliations
- Enhabit Home Health of Kentucky
- Baptist Health Lexington
- Saint Joseph Hospital
- Saint Joseph East
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
| Removal of skin lesions | 1-10 |
| Removal or shaving of skin growth | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 36288 | KY | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Lexington Clinic PSC | Current | Accepting new patients | |
| New Lexington Clinic, PSC | Internal Medicine | Current | Accepting new patients |
| Whitmore Lake Health Clinic | Internal Medicine | Past | Accepting new patients |
Locations
630 Southpoint Dr
Lexington, KY 40515
Phone (859) 258-6102
1221 S Broadway
Lexington, KY 40504
Phone (859) 258-4181
Interoperability endpoints
- craig.irwin.1@13059.direct.athenahealth.com
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.
-
- Multi-Specialty Clinic/Center
- Lexington, KY
- NPI 1700803681
Internal Medicine
-
- Clinical Medical Laboratory
- Lexington, KY
- NPI 1285409425
-
- Internal Medicine Physician
- Whitmore Lake, MI
- NPI 1790901304
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Lexington, KY
- NPI 1538244918
-
- Home Health Agency
- Lexington, KY
- NPI 1215434907
-
- General Acute Care Hospital
- Lexington, KY
- NPI 1437150984
-
- General Acute Care Hospital
- Lexington, KY
- NPI 1447457775
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152835200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1193961600000",
"number": "1922024124",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "630 SOUTHPOINT DR",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405156350",
"telephone_number": "859-272-1928",
"fax_number": "859-271-9601"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "630 SOUTHPOINT DR",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405156350",
"telephone_number": "859-272-1928",
"fax_number": "859-271-9601"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IRWIN",
"first_name": "CRAIG",
"middle_name": "W.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-14",
"last_updated": "2007-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "KY",
"license": "36288",
"primary": true
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "KY",
"license": "36288",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE LAB GRP",
"identifier": "400501",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "64026065",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID LAB GRP",
"identifier": "37903705",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE GRP",
"identifier": "CB5773",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lexington, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.