Individual provider Active NPI

Luna Khanal, MD

  • Cardiovascular Disease Physician
  • Corbin, KY
National Provider Identifier
1962988535
Registry record updated Aug 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
58698 Issued in KY
Practice address
45 Moonbow PLZ
Corbin, KY 40701-8949
Phone
(606) 523-9010
Fax
(606) 523-0028
NPI assigned
Jul 17, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 58698 KY Primary

Addresses

Primary practice location

45 Moonbow PLZ
Corbin, KY 40701-8949

Mailing address

45 Moonbow PLZ
Corbin, KY 40701-8949
Phone (606) 523-9010

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
I20240912001859 KY Practitioner - Cardiovascular Disease (Cardiology) 4284985565 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baptist Health Medical Group IncGroup PAC ID 5597867184, 2,431 clinicians

Practice addresses (Care Compare)

45 Moonbow PLZ
Corbin, KY 40701-8949
Phone (606) 523-9010

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.29 of 100Reported as apm
Quality
87.32
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
58698KYMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Health Medical Group Inc Internal Medicine CurrentSince Jul 1, 2024 Accepting new patients
Baptist Health Medical Group Inc CurrentSince Jul 1, 2024 Accepting new patients
Baptist Health Medical Group Inc Current Accepting new patients
Baptist Health Medical Group Inc Internal Medicine Past Accepting new patients

Locations

45 Moonbow Plz
Corbin, KY 40701
Phone (606) 523-9010

15 Moonbow Plz
Corbin, KY 40701
Phone (606) 528-4481

4071 Tates Creek Centre Dr
Ste 202
Lexington, KY 40517
Phone (859) 260-4390

5200 Commerce Crossings Dr
Fl 3
Louisville, KY 40229
Phone (502) 253-4924

Organizations & group practices 4

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.

Hospital & facility affiliations 2

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": "1531785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724025600000",
    "number": "1962988535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 MOONBOW PLZ",
            "city": "CORBIN",
            "state": "KY",
            "postal_code": "407018949",
            "telephone_number": "606-523-9010",
            "fax_number": "606-523-0028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 MOONBOW PLZ",
            "city": "CORBIN",
            "state": "KY",
            "postal_code": "407018949",
            "telephone_number": "606-523-9010",
            "fax_number": "606-523-0028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHANAL",
        "first_name": "LUNA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-17",
        "last_updated": "2024-08-19",
        "certification_date": "2024-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "KY",
            "license": "58698",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corbin, KY

Sources for this page

Verify at the official NPI Registry.