Active NPI
Robert A Garneau, MD
- Diagnostic Radiology Physician
- Paducah, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 27794
- Practice address
- 2725 James Sanders Blvd Ste a
Paducah, KY 42001-8405 - Phone
- (270) 554-5114
- Fax
- (270) 215-4834
- NPI assigned
- Sep 23, 2005
- Last updated
- May 19, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 27794 | KY | Primary |
Addresses
Primary practice location
2725 James Sanders Blvd Ste a
Paducah, KY 42001-8405
Mailing address
2421 Broadway St
Paducah, KY 42001-7115
Phone (270) 442-8272
Other practice location 1
1601 Highway 121 Byp N Ste B
Murray, KY 42071-8759
Phone (270) 971-4344
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 64277940 | Medicaid | KY | |
| 64377940 | Medicaid | KY |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Wayne State University School of Medicine, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2371 New Holt Rd
Paducah, KY 42001-0000
Phone (270) 442-8272
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| West End Imaging, PLLC | Diagnostic Radiology | Current | Accepting new patients |
| Baptist Healthcare System, Inc | Past | Accepting new patients |
Locations
2371 New Holt Rd
Paducah, KY 42001
Phone (270) 442-8272
2421 Broadway St
Paducah, KY 42001
Phone (270) 442-8272
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.
-
- Diagnostic Radiology Physician
- Paducah, KY
- NPI 1619559705
-
- General Acute Care Hospital
- Paducah, KY
- NPI 1730264128
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127433600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1589846400000",
"number": "1962498113",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2421 BROADWAY ST",
"city": "PADUCAH",
"state": "KY",
"postal_code": "420017115",
"telephone_number": "270-442-8272",
"fax_number": "270-444-0539"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2725 JAMES SANDERS BLVD STE A",
"city": "PADUCAH",
"state": "KY",
"postal_code": "420018405",
"telephone_number": "270-554-5114",
"fax_number": "270-215-4834"
}
],
"practiceLocations": [
{
"address_1": "1601 Highway 121 Byp N Ste B",
"address_purpose": "LOCATION",
"city": "Murray",
"state": "KY",
"postal_code": "420718759",
"country_code": "US",
"telephone_number": "270-971-4344",
"fax_number": "270-215-4834",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GARNEAU",
"first_name": "ROBERT",
"middle_name": "A",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-23",
"last_updated": "2020-05-19",
"certification_date": "2020-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "KY",
"license": "27794",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "64277940",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "64377940",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Paducah, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2020; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.