Individual provider Active NPI

Patrick K Hynes, MD

  • Pediatrics Physician
  • Prospect, KY
National Provider Identifier
1972582104
Registry record updated Dec 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
32278 Issued in KY
Practice address
9217 US Highway 42
Prospect, KY 40059-8858
Phone
(502) 228-1312
Fax
(502) 228-5541
NPI assigned
Jan 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 32278 KY Primary

Addresses

Primary practice location

9217 US Highway 42
Prospect, KY 40059-8858

Mailing address

PO Box 950293
Louisville, KY 40295-0293
Phone (888) 987-1875

Other identifiers 2

IdentifierTypeStateIssuer
1160588OtherKYPASSPORT
64322787MedicaidKY

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
I20240306000708 KY Practitioner - Pediatric Medicine 7416393038 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Norton Children'S Medical Group, LLC CurrentSince Feb 1, 2024 Accepting new patients
Norton Children'S Medical Group, LLC Current Accepting new patients
Norton Childrens Medical Group, LLC Pediatrics CurrentSince Feb 1, 2024 Accepting new patients
Norton Children'S Medical Group, LLC Pediatrics Past Accepting new patients

Locations

615 7th Ave
Bowling Green, KY 42101
Phone (270) 783-3573

601 S Floyd St
Ste 604
Louisville, KY 40202
Phone (502) 559-1670

9217 US Highway 42
Ste G
Prospect, KY 40059

9217 US Highway 42
Ste E
Prospect, KY 40059
Phone (502) 228-1312

Interoperability endpoints

  • Direct secure messaging: phynes53499@direct.nortonhealthcare.org

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1137369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703116800000",
    "number": "1972582104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 950293",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402950293",
            "telephone_number": "888-987-1875",
            "fax_number": "405-609-1491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9217 US HIGHWAY 42",
            "city": "PROSPECT",
            "state": "KY",
            "postal_code": "400598858",
            "telephone_number": "502-228-1312",
            "fax_number": "502-228-5541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HYNES",
        "first_name": "PATRICK",
        "middle_name": "K",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-16",
        "last_updated": "2023-12-21",
        "certification_date": "2023-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "KY",
            "license": "32278",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PASSPORT",
            "identifier": "1160588",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64322787",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Prospect, KY

Sources for this page

Verify at the official NPI Registry.