Active NPI
Yusuf Khan Deshmukh, M.D.
- Hematology & Oncology Physician
- Elizabethtown, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- License
- 21252
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1050025 | Other | KY | PASSPORT |
| 64212525 | Medicaid | KY |
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
Enrollment records 1
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 100
- 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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Elizabethtown Hematology-Oncology PLC | Hematology & Oncology | Current | 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
- https://fhir4.healow.com/fhir/r4/AGCCCA/Endpoint/AGCCCA
- yusuf.deshmukh@ehop.eclinicaldirectplus.com
- 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.
-
- Hematology & Oncology Physician
- Elizabethtown, KY
- NPI 1730161688
-
dba Baptist Health Hardin
- General Acute Care Hospital
- Elizabethtown, KY
- NPI 1689282147
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Baptist Health Hardin
- General Acute Care Hospital
- Elizabethtown, KY
- NPI 1689282147
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.