Individual provider Active NPI

Nicholas Joseph Van Sickels, M.D.

  • Infectious Disease Physician
  • Lexington, KY
National Provider Identifier
1962683581
Registry record updated Jun 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
56921 Issued in KY
Practice address
3101 Beaumont Centre Cir Ste 100
Lexington, KY 40513-1959
Phone
(859) 323-5544
Fax
(859) 257-9286
NPI assigned
Nov 26, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X MD.201407 LA
Internal Medicine Physician 207R00000X MD.201407 LA
Infectious Disease Physician 207RI0200X MD.201407 LA
Infectious Disease Physician 207RI0200X 56921 KY Primary

Addresses

Primary practice location

3101 Beaumont Centre Cir Ste 100
Lexington, KY 40513-1959

Mailing address

1631 Elysian Fields Ave
New Orleans, LA 70117-8208
Phone (504) 821-2601

Other practice location 1

1631 Elysian Fields Ave
New Orleans, LA 70117-8208
Phone (504) 821-2601

Other identifiers 1

IdentifierTypeStateIssuer
1215597MedicaidLA

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
I20220707001775 KY Practitioner - Infectious Disease 0648343244 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Infectious Disease
Education
University of Kentucky College of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kentucky Medical Services Foundation, IncGroup PAC ID 5698689909, 949 clinicians

Practice addresses (Care Compare)

3101 Beaumont Centre Cir
Suite 100
Lexington, KY 40513-1959
Phone (859) 323-5544

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.77 of 100Reported as group
Quality
68.25
Promoting interoperability
100
Improvement activities
40
Cost
72.39

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD.201407LAMDInfectious Disease Physician
56921KYMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University of Kentucky Internal Medicine CurrentSince Jul 1, 2022 Accepting new patients
Kentucky Medical Services Foundation, Inc Internal Medicine CurrentSince Jul 1, 2022 Accepting new patients
The Administrators of the Tulane Educational Fund Specialist Past Accepting new patients

Locations

3101 Beaumont Centre Cir
Ste 100
Lexington, KY 40513
Phone (859) 323-5544

800 Rose St
Lexington, KY 40536
Phone (859) 257-8562

2400 Greatstone Pt
Lexington, KY 40504
Phone (859) 257-9800

Interoperability endpoints

  • Direct secure messaging: nvansickels243983@ukhcdirect.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 1

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": "1196035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655769600000",
    "number": "1962683581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1631 ELYSIAN FIELDS AVE",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701178208",
            "telephone_number": "504-821-2601",
            "fax_number": "504-814-6047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3101 BEAUMONT CENTRE CIR STE 100",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405131959",
            "telephone_number": "859-323-5544",
            "fax_number": "859-257-9286"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1631 Elysian Fields Ave",
            "address_purpose": "LOCATION",
            "city": "New Orleans",
            "state": "LA",
            "postal_code": "701178208",
            "country_code": "US",
            "telephone_number": "504-821-2601",
            "fax_number": "504-814-6047",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VAN SICKELS",
        "first_name": "NICHOLAS",
        "middle_name": "JOSEPH",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-11-26",
        "last_updated": "2022-06-21",
        "certification_date": "2022-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "LA",
            "license": "MD.201407",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "MD.201407",
            "primary": false
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "LA",
            "license": "MD.201407",
            "primary": false
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "KY",
            "license": "56921",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1215597",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

Verify at the official NPI Registry.