Individual provider Active NPI

Yusuf Khan Deshmukh, M.D.

  • Hematology & Oncology Physician
  • Elizabethtown, KY
National Provider Identifier
1972585883
Registry record updated Feb 22, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
21252 Issued in KY
Practice address
1107 Woodland Dr
Suite 105
Elizabethtown, KY 42701-2789
Phone
(270) 769-6665
Fax
(270) 769-0322
NPI assigned
Nov 16, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X 21252 KY Primary

Addresses

Primary practice location

1107 Woodland Dr
Suite 105
Elizabethtown, KY 42701-2789

Mailing address

1107 Woodland Dr
Suite 105
Elizabethtown, KY 42701-2789
Phone (270) 769-6665

Other identifiers 2

IdentifierTypeStateIssuer
1050025OtherKYPASSPORT
64212525MedicaidKY

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
I20100415000689 KY Practitioner - Hematology/Oncology 4789648544 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hematology/Oncology
Education
Other, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1107 Woodland Dr
Elizabethtown, KY 42701-2789
Phone (270) 769-6665

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.83 of 100Reported as individual
Quality
90.83
Improvement activities
40
Cost
78.35

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Elizabethtown Hematology-Oncology PLC Hematology & Oncology CurrentSince Nov 20, 1995 Accepting new patients
Baptist Healthcare System Inc Past Accepting new patients

Locations

1107 Woodland Dr
Ste 105
Elizabethtown, KY 42701
Phone (270) 769-6665

913 N Dixie Ave
Elizabethtown, KY 42701
Phone (270) 706-1212

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/AGCCCA/Endpoint/AGCCCA
  • Direct secure messaging: yusuf.deshmukh@ehop.eclinicaldirectplus.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/AGCCCA

Organizations & group practices 2

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 1

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": "1132099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329868800000",
    "number": "1972585883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1107 WOODLAND DR",
            "address_2": "SUITE 105",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427012789",
            "telephone_number": "270-769-6665",
            "fax_number": "270-769-0322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1107 WOODLAND DR",
            "address_2": "SUITE 105",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427012789",
            "telephone_number": "270-769-6665",
            "fax_number": "270-769-0322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESHMUKH",
        "first_name": "YUSUF",
        "middle_name": "KHAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-16",
        "last_updated": "2012-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "KY",
            "license": "21252",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PASSPORT",
            "identifier": "1050025",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64212525",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elizabethtown, KY

Sources for this page

Verify at the official NPI Registry.