Individual provider Active NPI

Edwin L Rogers, M.D.

  • Surgery Physician
  • Lexington, KY
National Provider Identifier
1932106648
Registry record updated Aug 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
19032 Issued in KY
Practice address
1760 Nicholasville Rd
Suite 202
Lexington, KY 40503-1471
Phone
(859) 277-5711
Fax
(859) 967-1769
NPI assigned
Jul 7, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 19032 KY Primary

Addresses

Primary practice location

1760 Nicholasville Rd
Suite 202
Lexington, KY 40503-1471

Mailing address

1760 Nicholasville Rd
Suite 202
Lexington, KY 40503-1471
Phone (859) 277-5711

Other identifiers 1

IdentifierTypeStateIssuer
64190325MedicaidKY

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
I20100812000728 KY Practitioner - General Surgery 8628968484 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
19032KYMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lexington Surgical Specialists Surgery CurrentSince Apr 1, 2018 Accepting new patients

Locations

1760 Nicholasville Rd
Ste 202
Lexington, KY 40503
Phone (859) 277-5711

Interoperability endpoints

  • Direct secure messaging: edwinrogers@ls.allscriptsdirect.net

Organizations & group practices 1

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": "1120694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438819200000",
    "number": "1932106648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1760 NICHOLASVILLE RD",
            "address_2": "SUITE 202",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405031471",
            "telephone_number": "859-277-5711",
            "fax_number": "859-967-1769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1760 NICHOLASVILLE RD",
            "address_2": "SUITE 202",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405031471",
            "telephone_number": "859-277-5711",
            "fax_number": "859-967-1769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROGERS",
        "first_name": "EDWIN",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-07",
        "last_updated": "2015-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "KY",
            "license": "19032",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64190325",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

Verify at the official NPI Registry.