Individual provider Active NPI

John E. Pappas, M.D.

  • Internal Medicine Physician
  • Pikeville, KY
National Provider Identifier
1922219294
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
17920 Issued in KY
Practice address
255 Church St Ste 101
Pikeville, KY 41501-3476
Phone
(606) 432-5660
NPI assigned
May 25, 2007
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 17920 KY Primary
Addiction Medicine (Internal Medicine) Physician 207RA0401X 17920 KY

Addresses

Primary practice location

255 Church St Ste 101
Pikeville, KY 41501-3476

Mailing address

354 Waller Ave
Suite 110
Lexington, KY 40504-2928
Phone (859) 225-5672

Other practice location 1

354 Waller Ave
Suite 110
Lexington, KY 40504-2928
Phone (859) 225-5672

Other identifiers 1

IdentifierTypeStateIssuer
64179203MedicaidKY

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
I20100706000079 KY Practitioner - PsychiatryPractitioner - Internal MedicinePractitioner - Addiction Medicine 0042341158 Reassigns benefits to 4 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
17920KYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
VBH Kentucky Inc CurrentSince Nov 1, 2021 Accepting new patients
Workit Health Mi PLLC CurrentSince May 2, 2022 Accepting new patients
Workit Health Mi PLLC CurrentSince May 2, 2022 Accepting new patients
Stellar Behavioral Health LLC Internal Medicine CurrentSince Aug 21, 2024 Accepting new patients
Lexington Primary Care LLC Internal Medicine PastSince Jan 5, 2004 Accepting new patients
Commonwealth Medical Care, LLC Past Accepting new patients
Central Kentucky Sleep Labs, LLC Past Accepting new patients

Locations

7145 E Virginia St
Ste 2000
Evansville, IN 47715
Phone (812) 476-6161

915 Leawood Dr
Ste C
Frankfort, KY 40601
Phone (502) 352-2446

1718 Alexandria Dr
Ste 102
Lexington, KY 40504
Phone (502) 536-7083

1736 Alexandria Dr
Ste 230
Lexington, KY 40504
Phone (502) 385-0861

3101 Breckenridge Ln
Ste 1B
Louisville, KY 40220
Phone (502) 451-2474

Organizations & group practices 9

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": "1180051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1922219294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "354 WALLER AVE",
            "address_2": "SUITE 110",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405042928",
            "telephone_number": "859-225-5672",
            "fax_number": "859-276-1020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 CHURCH ST STE 101",
            "city": "PIKEVILLE",
            "state": "KY",
            "postal_code": "415013476",
            "telephone_number": "606-432-5660"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "354 Waller Ave",
            "address_2": "Suite 110",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "KY",
            "postal_code": "405042928",
            "country_code": "US",
            "telephone_number": "859-225-5672",
            "fax_number": "859-276-1020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAPPAS",
        "first_name": "JOHN",
        "middle_name": "E.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-25",
        "last_updated": "2023-03-07",
        "certification_date": "2021-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KY",
            "license": "17920",
            "primary": true
        },
        {
            "code": "207RA0401X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Addiction Medicine",
            "state": "KY",
            "license": "17920",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64179203",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pikeville, KY

Sources for this page

Verify at the official NPI Registry.