Individual provider Active NPI

Thomas E Fellens, MD

  • Obstetrics & Gynecology Physician
  • Florence, KY
National Provider Identifier
1972551638
Registry record updated Mar 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
32782 Issued in KY
Practice address
7607 Dixie Hwy
Florence, KY 41042-2689
Phone
(859) 655-6100
NPI assigned
May 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 35052398F OH
Obstetrics & Gynecology Physician 207V00000X 32782 KY Primary

Addresses

Primary practice location

7607 Dixie Hwy
Florence, KY 41042-2689

Mailing address

215 E 11TH St
Newport, KY 41071-2203
Phone (859) 655-6100

Other identifiers 3

IdentifierTypeStateIssuer
200366960MedicaidIN
64327828MedicaidKY
0827172MedicaidOH

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
I20050107000406 KY Practitioner - Obstetrics/Gynecology 7618925553 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Wright State University Boonshoft School of Medicine, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Healthpoint Family Care, Inc.Group PAC ID 9638089642, 51 clinicians

Practice addresses (Care Compare)

7607 Dixie Hwy
Florence, KY 41042-2644
Phone (859) 655-6100

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
32782KYMDObstetrics & Gynecology Physician
35052398FOHMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Healthpoint Family Care, Inc. CurrentSince Feb 1, 2008 Accepting new patients
Healthpoint Family Care Inc CurrentSince Feb 1, 2008 Accepting new patients
St. Luke Hospitals Inc Obstetrics & Gynecology Past Accepting new patients

Locations

1401 Madison Ave
Covington, KY 41011
Phone (606) 655-8034

7607 Dixie Hwy
Florence, KY 41042

215 E 11th St
Newport, KY 41071

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1146787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615766400000",
    "number": "1972551638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 E 11TH ST",
            "city": "NEWPORT",
            "state": "KY",
            "postal_code": "410712203",
            "telephone_number": "859-655-6100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7607 DIXIE HWY",
            "city": "FLORENCE",
            "state": "KY",
            "postal_code": "410422689",
            "telephone_number": "859-655-6100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FELLENS",
        "first_name": "THOMAS",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-05",
        "last_updated": "2021-03-15",
        "certification_date": "2021-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "OH",
            "license": "35052398F",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "KY",
            "license": "32782",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200366960",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64327828",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0827172",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Florence, KY

Sources for this page

Verify at the official NPI Registry.