Active NPI
Ralph Stephen Amato, M.D.
- Clinical Genetics (M.D.) Physician
- Lexington, KY
National Provider Identifier
1972537405
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Genetics (M.D.) Physician
- License
- 46106
- Practice address
- 740 S Limestone St
Ste. J420
Lexington, KY 40536-0284 - Phone
- (859) 323-0396
- Fax
- (859) 257-1888
- NPI assigned
- Jul 10, 2006
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Genetics (M.D.) Physician | 207SG0201X | 46106 | KY | Primary |
| Clinical Genetics (M.D.) Physician | 207SG0201X | 014889 | ME | |
| Clinical Genetics (M.D.) Physician | 207SG0201X | 41170 | AZ |
Addresses
Primary practice location
740 S Limestone St
Ste. J420
Lexington, KY 40536-0284
Mailing address
740 S Limestone St
Ste. J420
Lexington, KY 40536-0284
Phone (859) 323-0396
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MM7484 | Medicaid | ME | |
| 392063 | Medicaid | AZ | |
| 392063 | Medicaid | KY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 41170 | AZ | MD | Clinical Genetics (M.D.) Physician |
| 014889 | ME | MD | Clinical Genetics (M.D.) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Norumbega Medical Specialists, LTD | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Health Service Clinic/Center
- Brewer, ME
- NPI 1780821140
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152489600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1407196800000",
"number": "1972537405",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "740 S LIMESTONE ST",
"address_2": "STE. J420",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405360284",
"telephone_number": "859-323-0396",
"fax_number": "859-257-1888"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "740 S LIMESTONE ST",
"address_2": "STE. J420",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405360284",
"telephone_number": "859-323-0396",
"fax_number": "859-257-1888"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AMATO",
"first_name": "RALPH",
"middle_name": "STEPHEN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-10",
"last_updated": "2014-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "207SG0201X",
"taxonomy_group": "",
"desc": "Medical Genetics, Clinical Genetics (M.D.)",
"state": "KY",
"license": "46106",
"primary": true
},
{
"code": "207SG0201X",
"taxonomy_group": "",
"desc": "Medical Genetics, Clinical Genetics (M.D.)",
"state": "ME",
"license": "014889",
"primary": false
},
{
"code": "207SG0201X",
"taxonomy_group": "",
"desc": "Medical Genetics, Clinical Genetics (M.D.)",
"state": "AZ",
"license": "41170",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "MM7484",
"state": "ME"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "392063",
"state": "AZ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "392063",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lexington, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.