Individual provider Active NPI

Robert A Garneau, MD

  • Diagnostic Radiology Physician
  • Paducah, KY
National Provider Identifier
1962498113
Registry record updated May 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
27794 Issued in KY
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, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
64277940MedicaidKY
64377940MedicaidKY

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
I20081111000361 KY Practitioner - Diagnostic Radiology 2668370339 Reassigns benefits to 1 organization

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
West End Imaging PLLCGroup PAC ID 8628471489, 8 clinicians

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 100Reported as individual

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
West End Imaging, PLLC Diagnostic Radiology CurrentSince Jun 1, 2021 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.

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

Verify at the official NPI Registry.