Individual provider Active NPI

Todd Jordan Purkiss, M.D., PH.D.

  • Retina Specialist (Ophthalmology) Physician
  • Lexington, KY
National Provider Identifier
1942347703
Registry record updated May 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Retina Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0107X
License
42434 Issued in KY
Practice address
120 N Eagle Creek Dr
Ste 500
Lexington, KY 40509-1827
Phone
(859) 263-3900
Fax
(859) 263-3757
NPI assigned
Jan 31, 2007
Last updated
May 9, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2017

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 2008-00297 NC
Ophthalmology Physician 207W00000X 42434 KY
Retina Specialist (Ophthalmology) Physician 207WX0107X 42434 KY Primary

Addresses

Primary practice location

120 N Eagle Creek Dr
Ste 500
Lexington, KY 40509-1827

Mailing address

120 N Eagle Creek Dr
Ste 500
Lexington, KY 40509-1827
Phone (859) 263-3900

Other identifiers 2

IdentifierTypeStateIssuer
710081470MedicaidKY
0117684MedicaidOH

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20090821000093 KY Practitioner - Ophthalmology 9638241128 Reassigns benefits to 1 organization
I20200421000301 IN Practitioner - Ophthalmology 9638241128 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Louisville School of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Retina and Vitreous Associates of Kentucky PLLCGroup PAC ID 0749183648, 13 clinicians

Practice addresses (Care Compare)

120 N Eagle Creek Dr
Lexington, KY 40509-1827
Phone (859) 263-3900

315 Leonardwood Rd
Suite 4
Frankfort, KY 40601-6532
Phone (859) 263-3900

6450 Dutchmans Pkwy
Louisville, KY 40205-3338
Phone (859) 263-3900

73 Quartermaster CT
Jeffersonville, IN 47130-3623
Phone (800) 627-2020

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2008-00297NCMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Retina and Vitreous Associates of Kentucky PLLC Ophthalmology CurrentSince Dec 1, 2014 Accepting new patients
Kentucky Eye Care PSC Ophthalmology PastSince Jan 1, 2013 Accepting new patients

Locations

3542 E 10th St
Jeffersonvlle, IN 47130
Phone (800) 627-2020

73 Quartermaster Ct
Jeffersonvlle, IN 47130
Phone (812) 284-0077

1700 Winchester Ave
Ashland, KY 41101
Phone (606) 408-9690

2935 Dolphin Dr
Ste 302A
Elizabethtown, KY 42701
Phone (270) 769-0099

315 Leonardwood Rd
Ste 4
Frankfort, KY 40601

120 N Eagle Creek Dr
Ste 104
Lexington, KY 40509
Phone (859) 263-1280

120 N Eagle Creek Dr
Ste 440
Lexington, KY 40509
Phone (859) 258-5900

120 N Eagle Creek Dr
Ste 500
Lexington, KY 40509
Phone (859) 977-1129

6450 Dutchmans Pkwy
Louisville, KY 40205
Phone (502) 741-6095

850 Hail Knob Rd
#A
Somerset, KY 42503
Phone (606) 425-4141

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: todd.purkiss@direct.rak.nextgenshare.com

Organizations & group practices 2

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": "1170201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494288000000",
    "number": "1942347703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 N EAGLE CREEK DR",
            "address_2": "STE 500",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405091827",
            "telephone_number": "859-263-3900",
            "fax_number": "859-263-3757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 N EAGLE CREEK DR",
            "address_2": "STE 500",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405091827",
            "telephone_number": "859-263-3900",
            "fax_number": "859-263-3757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PURKISS",
        "first_name": "TODD",
        "middle_name": "JORDAN",
        "name_prefix": "Dr.",
        "credential": "M.D., PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-31",
        "last_updated": "2017-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NC",
            "license": "2008-00297",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "KY",
            "license": "42434",
            "primary": false
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "KY",
            "license": "42434",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "710081470",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0117684",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

Verify at the official NPI Registry.