Kevin A O'Koon, M.D.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

33122 Issued in KY

Practice address

3900 Kresge Way Ste 44
Louisville, KY 40207-4681

Phone

(502) 897-6700

Fax

(502) 897-6704

NPI assigned

Jun 30, 2005

Last updated

Dec 13, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in KY, IN2 enrollments

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 2

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/17996/brand/1/csg/1/fhir/r4
• FHIR API: https://api.platform.athenahealth.com/19666/brand/1/csg/1/fhir/r4
• Direct secure messaging: kevin.o.koon.1@17996.direct.athenahealth.com

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.

• Kentuckiana Surgical Specialists PSC

  • Specialist
  • Louisville, KY
  • NPI 1033140579

  IN

  Medicare reassignment NPD Authorized official
• Vanguard Surgical LLC

  • Transplant Surgery Physician
  • Louisville, KY
  • NPI 1356904064
  Medicare reassignment NPD
• Baptist Health Medical Group Inc

  • Internal Medicine Physician
  • Louisville, KY
  • NPI 1780961300

  Surgery

  NPD (past)
• Baptist Health Medical Group Inc

  dba Dawson Springs Rural Health Clinic

  • Rural Health Clinic/Center
  • Dawson Springs, KY
  • NPI 1982178216
  NPD (past)
• David Geller, MD, PLLC

  • Surgery Physician
  • Louisville, KY
  • NPI 1639535677
  NPD (past)

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

{
    "created_epoch": "1120089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702425600000",
    "number": "1932106465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3900 KRESGE WAY STE 44",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402074681",
            "telephone_number": "502-897-6700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3900 KRESGE WAY STE 44",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402074681",
            "telephone_number": "502-897-6700",
            "fax_number": "502-897-6704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'KOON",
        "first_name": "KEVIN",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-30",
        "last_updated": "2023-12-13",
        "certification_date": "2023-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "KY",
            "license": "33122",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM FACET NUMBER",
            "identifier": "0000000189866",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1054637",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64331226",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Susan Gregory O'Hern, OTRL
• Haley Renee O'Keefe
• Kevin M O'Keefe, MD
• Lynn Adams O'Keeffe, M.D.
• Kimmery O'Kelley, RN
• Suzann O'Koon, PHD
• Abby O'Leary, NTP, RWS
• Helen Teresa O'Leary, MD
• Holly O'Loan, MS, LPP
• Kelly Partin O'Loane, APRN

• Surgery Physician in Louisville, KY
• Providers in Louisville, KY by specialty
• Surgery Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.