NPIMap

Individual provider Active NPI

Carey Lee Dodds, M.D.

  • Pediatrics Physician
  • Madisonville, KY
National Provider Identifier
1922069210
Registry record updated Dec 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
33957 Issued in KY
Practice address
200 Clinic Dr
Madisonville, KY 42431-1661
Phone
(270) 825-7328
Fax
(270) 825-6666
NPI assigned
Mar 28, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 33957 KY Primary

Addresses

Primary practice location

200 Clinic Dr
Madisonville, KY 42431-1661

Mailing address

2700 Stanley Gault Pkwy
Ste 129
Louisville, KY 40223-5176
Phone (270) 326-3949

Other identifiers 1

IdentifierTypeStateIssuer
64011703MedicaidKY

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address cdodds31043@bhkydirect.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040410000107 KY Practitioner - Pediatric Medicine 1951395250 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Medicine
Education
University of Louisville School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baptist Health Deaconess Medical Group Inc 241 clinicians

Practice addresses (Care Compare)

200 Clinic Dr
FL 2
Madisonville, KY 42431-1661
Phone (270) 825-7669

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Health Deaconess Medical Group Inc CurrentSince Sep 1, 2021 Accepting new patients
Baptist Health Deaconess Medical Group Inc CurrentSince Sep 1, 2021 Accepting new patients

Locations

200 Clinic Dr
Fl 2
Madisonville, KY 42431
Phone (270) 825-7328

800 Hospital Dr
Fl 2
Madisonville, KY 42431
Phone (270) 326-3900

200 Clinic Dr
Madisonville, KY 42431
Phone (270) 821-8874

Interoperability endpoints

  • Direct secure messaging: cdodds31043@bhkydirect.com

Organizations & group practices 11

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": "1143504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606953600000",
    "number": "1922069210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 STANLEY GAULT PKWY",
            "address_2": "STE 129",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402235176",
            "telephone_number": "270-326-3949",
            "fax_number": "270-326-3954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 CLINIC DR",
            "city": "MADISONVILLE",
            "state": "KY",
            "postal_code": "424311661",
            "telephone_number": "270-825-7328",
            "fax_number": "270-825-6666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DODDS",
        "first_name": "CAREY",
        "middle_name": "LEE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-28",
        "last_updated": "2020-12-03",
        "certification_date": "2020-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "KY",
            "license": "33957",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64011703",
            "state": "KY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cdodds31043@bhkydirect.com",
            "affiliation": "N",
            "address_1": "200 Clinic Dr",
            "city": "Madisonville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "424311661",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Madisonville, KY

Sources for this page

Verify at the official NPI Registry.