NPIMap

Individual provider Active NPI

Mikal A Bailey, PA-C

  • Medical Physician Assistant
  • Paducah, KY
National Provider Identifier
1972570596
Registry record updated Jul 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA773 Issued in KY
Practice address
2603 Kentucky Ave.
MP2, Ste. 403
Paducah, KY 42003
Phone
(270) 415-4800
NPI assigned
Mar 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA773 KY
Medical Physician Assistant 363AM0700X 34998 MT
Medical Physician Assistant 363AM0700X PA773 KY Primary

Addresses

Primary practice location

2603 Kentucky Ave.
MP2, Ste. 403
Paducah, KY 42003

Mailing address

2603 Kentucky Ave.
MP2, Ste. 403
Paducah, KY 42003
Phone (270) 415-4800

Other practice location 1

304 Osloski Rd
Eureka, MT 59917-9217
Phone (406) 297-3145

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address mbailey34381@bhkydirect.com
Direct Messaging Address Krmcmedicalrecords@krhdirect.org Direct Logan Health - Whitefish

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, MT2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20031204000075 KY Practitioner - Physician Assistant 0749185627 Reassigns benefits to 5 organizations
I20141230002113 MT Practitioner - Physician Assistant 0749185627 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of Kentucky College of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Stillwater Health 4 clinicians

Practice addresses (Care Compare)

4570 Pecan Dr
Suite C
Paducah, KY 42001-6717
Phone (270) 908-3839

546 US Hwy 93 N
Suite a
Eureka, MT 59917-9053
Phone (406) 610-0700

Hospital & facility affiliations

  • Logan Health Home Care Home health agency, Kalispell, MT, CCN 277053
  • Logan Health - Whitefish Hospital, Whitefish, MT, CCN 271336
  • Logan Health Medical Center Hospital, Kalispell, MT, CCN 270051

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Physician Assistant

State licenses

LicenseStateTypeSpecialty
34998MTMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Sparrow Eaton Hospital Past Accepting new patients
Southern Orthopedic Associates SC Physician Assistant Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 9

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 9

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": "1141257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721260800000",
    "number": "1972570596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2603 KENTUCKY AVE.",
            "address_2": "MP2, STE. 403",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "42003",
            "telephone_number": "270-415-4800",
            "fax_number": "270-415-4801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2603 KENTUCKY AVE.",
            "address_2": "MP2, STE. 403",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "42003",
            "telephone_number": "270-415-4800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "304 Osloski Rd",
            "address_purpose": "LOCATION",
            "city": "Eureka",
            "state": "MT",
            "postal_code": "599179217",
            "country_code": "US",
            "telephone_number": "406-297-3145",
            "fax_number": "406-297-3364",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAILEY",
        "first_name": "MIKAL",
        "middle_name": "A",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-02",
        "last_updated": "2024-07-18",
        "certification_date": "2024-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KY",
            "license": "PA773",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MT",
            "license": "34998",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "KY",
            "license": "PA773",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mbailey34381@bhkydirect.com",
            "affiliation": "N",
            "address_1": "2603 Kentucky Ave Ste 403",
            "city": "Paducah",
            "state": "KY",
            "country_code": "US",
            "postal_code": "420033830",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Krmcmedicalrecords@krhdirect.org",
            "affiliation": "Y",
            "affiliationName": "Logan Health - Whitefish",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "304 Osloski Rd",
            "city": "Eureka",
            "state": "MT",
            "country_code": "US",
            "postal_code": "599179217",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Paducah, KY

Sources for this page

Verify at the official NPI Registry.