Individual provider Active NPI

Iraklis C Livas, M.D.

  • Allergy Physician
  • Lexington, KY
National Provider Identifier
1922084391
Registry record updated Nov 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy PhysicianTaxonomy code 207KA0200X
License
KY32228 Issued in KY
Practice address
1019 Majestic Dr
Suite 210
Lexington, KY 40513-1895
Phone
(859) 277-3114
Fax
(859) 275-1942
NPI assigned
Dec 19, 2005
Last updated
Nov 17, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 17, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy Physician 207KA0200X KY32228 KY Primary

Addresses

Primary practice location

1019 Majestic Dr
Suite 210
Lexington, KY 40513-1895

Mailing address

1019 Majestic Dr
Suite 210
Lexington, KY 40513-1895
Phone (859) 277-3114

Other identifiers 1

IdentifierTypeStateIssuer
64322282MedicaidKY

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
I20040219000761 KY Practitioner - Allergy/Immunology 0749175040 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Allergy/Immunology
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Iraklis C Livas MD PSCGroup PAC ID 9234024522, 4 clinicians

Practice addresses (Care Compare)

280 Stone St
Morehead, KY 40351-1747
Phone (859) 277-3114

Merit-based Incentive Payment System (MIPS)

Final score
27.01 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
90.05

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
KY32228KYMDAllergy Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Iraklis C Livas MD PSC CurrentSince Sep 1, 2000 Accepting new patients
Allergy Asthma and Immunology Past Accepting new patients
Allergy Asthma and Immunology Past Accepting new patients
Allergy Asthma and Immunology Past Accepting new patients
Allergy Asthma and Immunology Past Accepting new patients

Locations

14 Knox Plz
Barbourville, KY 40906
Phone (606) 627-5564

200 Mulberry St
#A
Booneville, KY 41314
Phone (606) 596-0701

101 Medical Heights Dr
Ste E
Frankfort, KY 40601
Phone (502) 227-7538

1019 Majestic Dr
Ste 210
Lexington, KY 40513
Phone (895) 277-3114

280 Stone St
Morehead, KY 40351
Phone (800) 640-0246

140 Newcomb Ave
Mount Vernon, KY 40456
Phone (606) 256-3232

140 Newcomb Ave
Ste D
Mount Vernon, KY 40456

101 Brandon Way
Ste B
Mt Sterling, KY 40353

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1134950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1416182400000",
    "number": "1922084391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1019 MAJESTIC DR",
            "address_2": "SUITE 210",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405131895",
            "telephone_number": "859-277-3114",
            "fax_number": "859-275-1942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1019 MAJESTIC DR",
            "address_2": "SUITE 210",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405131895",
            "telephone_number": "859-277-3114",
            "fax_number": "859-275-1942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIVAS",
        "first_name": "IRAKLIS",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-19",
        "last_updated": "2014-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207KA0200X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology, Allergy",
            "state": "KY",
            "license": "KY32228",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64322282",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

Verify at the official NPI Registry.