Active NPI
Kelvin D Perry, M.D.
- Family Medicine Physician
- Corbin, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 40246
- Practice address
- 121 Bishop St
Corbin, KY 40701-1702 - Phone
- (606) 528-2124
- Fax
- (606) 528-8272
- NPI assigned
- Oct 2, 2006
- Last updated
- Nov 16, 2018
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 40246 | KY | Primary |
Addresses
Primary practice location
121 Bishop St
Corbin, KY 40701-1702
Mailing address
121 Bishop St
Corbin, KY 40701-1702
Phone (606) 528-2124
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100005480 | 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
- Family Practice
- Education
- University of Louisville School of Medicine, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
14662 N US Hwy 25 E
Corbin, KY 40701-6425
Phone (606) 526-9005
313 S Cherry St
Pineville, KY 40977-1724
Phone (606) 654-3338
Hospital & facility affiliations
- Whitley County Home Health Agency
- Hospice of the Bluegrass, Inc.
- Baptist Health Corbin
- Saint Joseph London
- Saint Joseph East
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grace Community Health Center, Inc. | Current | Accepting new patients | |
| Grace Community Health Center, Inc. | Family Medicine | Current | Accepting new patients |
| Grace Community Health Center, Inc. | Family Medicine | Current | Accepting new patients |
Locations
1019 Cumberland Falls Hwy
Ste B201
Corbin, KY 40701
121 Bishop St
Corbin, KY 40701
Phone (606) 258-8837
14662 N US Highway 25 E
Corbin, KY 40701
Phone (606) 526-9005
39 Cumberland Gap Plz
Gray, KY 40734
Phone (606) 526-9005
21154 Highway 421
Ste 1
Hyden, KY 41749
272 London Mountain View Dr
London, KY 40741
Phone (606) 231-2614
85 Highway 80
Manchester, KY 40962
Phone (606) 596-0410
313 S Cherry St
Pineville, KY 40977
Phone (606) 654-3338
Interoperability endpoints
- kperry704220@direct.ochin.org
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Federally Qualified Health Center (FQHC)
- Corbin, KY
- NPI 1568625648
Family Medicine
-
dba Grace Health
- Federally Qualified Health Center (FQHC)
- Corbin, KY
- NPI 1316645344
-
- Federally Qualified Health Center (FQHC)
- Manchester, KY
- NPI 1902048481
Family Medicine
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Baptist Health Corbin
- General Acute Care Hospital
- Corbin, KY
- NPI 1902865389
-
dba Mountain Community Hospice, Bluegrass Hospice Care
- Community Based Hospice Care Agency
- Lexington, KY
- NPI 1033328232
-
dba CHI Saint Joseph East
- General Acute Care Hospital
- Lexington, KY
- NPI 1447457775
-
dba CHI Saint Joseph London
- Rural Acute Care Hospital
- London, KY
- NPI 1992701429
-
- Home Health Agency
- Williamsburg, KY
- NPI 1235113713
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1542326400000",
"number": "1972696672",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "121 BISHOP ST",
"city": "CORBIN",
"state": "KY",
"postal_code": "407011702",
"telephone_number": "606-528-2124",
"fax_number": "606-528-8272"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "121 BISHOP ST",
"city": "CORBIN",
"state": "KY",
"postal_code": "407011702",
"telephone_number": "606-528-2124",
"fax_number": "606-528-8272"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERRY",
"first_name": "KELVIN",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-02",
"last_updated": "2018-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "KY",
"license": "40246",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100005480",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Corbin, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2018; 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.