Individual provider Active NPI

Sonia E Proudfoot, MD

  • Internal Medicine Physician
  • Monticello, KY
National Provider Identifier
1962434100
Registry record updated Nov 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35830 Issued in KY
Practice address
166 Hospital Street
Monticello, KY 42633-2416
Phone
(606) 348-9343
Fax
(606) 340-3258
NPI assigned
Jul 7, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2016

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 35830 KY Primary
Hospitalist Physician 208M00000X 35830 KY

Addresses

Primary practice location

166 Hospital Street
Monticello, KY 42633-2416

Mailing address

166 Hospital Street
Monticello, KY 42633-2416
Phone (606) 348-9343

Other identifiers 2

IdentifierTypeStateIssuer
000000558830OtherKYANTHEM BC & BS
64050149MedicaidKY

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
I20040520001245 KY Practitioner - Internal Medicine 4789675430 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Louisville School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wayne County Hospital IncGroup PAC ID 7113814740, 15 clinicians

Practice addresses (Care Compare)

166 Hospital St
Monticello, KY 42633-2430
Phone (606) 348-9343

Hospital & facility affiliations

  • Wayne County Hospital Hospital, Monticello, KY, CCN 181321
  • Lake Cumberland Regional Hospital Hospital, Somerset, KY, CCN 180132
  • Wayne County Hospital Nursing home, CCN 18Z321

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35830KYMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wayne County Hospital, Inc Internal Medicine CurrentSince Apr 1, 2008 Accepting new patients
Wayne County Hospital, Inc Internal Medicine CurrentSince Apr 1, 2008 Accepting new patients
Kentucky Inpatient Medicine Associates, PLLC Internal Medicine Past Accepting new patients

Locations

166 Hospital St
Monticello, KY 42633
Phone (606) 340-3251

305 Langdon St
Somerset, KY 42503
Phone (606) 451-2994

Interoperability endpoints

  • Direct secure messaging: wcoslangfe@yourcarecommunity.org

Organizations & group practices 3

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478649600000",
    "number": "1962434100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "166 HOSPITAL STREET",
            "city": "MONTICELLO",
            "state": "KY",
            "postal_code": "426332416",
            "telephone_number": "606-348-9343",
            "fax_number": "606-340-3258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "166 HOSPITAL STREET",
            "city": "MONTICELLO",
            "state": "KY",
            "postal_code": "426332416",
            "telephone_number": "606-348-9343",
            "fax_number": "606-340-3258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PROUDFOOT",
        "first_name": "SONIA",
        "middle_name": "E",
        "name_prefix": "Mrs.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-07",
        "last_updated": "2016-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KY",
            "license": "35830",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "KY",
            "license": "35830",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BC & BS",
            "identifier": "000000558830",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64050149",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Monticello, KY

Sources for this page

Verify at the official NPI Registry.