Individual provider Active NPI

Saroj B. Dubal, M.D.

  • Interventional Pain Medicine Physician
  • Lexington, KY
National Provider Identifier
1982603353
Registry record updated Dec 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
32292 Issued in KY
Practice address
101 Prosperous Place
Suite 300
Lexington, KY 40509-1836
Phone
(859) 271-3114
Fax
(859) 271-0220
NPI assigned
Jul 19, 2005
Sex
Female
Sole proprietor
Yes

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 and National Provider Directory roles.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Pain Medicine, PSC Pain Medicine PastSince May 30, 2000 Accepting new patients
Anesthesia Associates, PSC Anesthesiology Past Accepting new patients
Ballard Wright, MD, PSC Anesthesiology Past Accepting new patients

Specialties & licenses 3

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 32292 KY
Pain Medicine (Anesthesiology) Physician 207LP2900X 32292 KY
Interventional Pain Medicine Physician 208VP0014X 32292 KY Primary

Addresses

NPPES NPI Registry

Primary practice location

101 Prosperous Place
Suite 300
Lexington, KY 40509-1836

Mailing address

PO Box 23955
Lexington, KY 40523-3955
Phone (859) 271-3114

Other identifiers 6

NPPES NPI Registry
IdentifierTypeStateIssuer
1168975OtherKYCHA HEALTH PIN
000000108103OtherKYANTHEM B/C PIN
2001268OtherKYUNITED HEALTHCARE PIN
C15401OtherKYBLUEGRASS FAMILY HEALTH
611369666OtherKYHUMANA PIN
64322928MedicaidKY

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 30, 2015.

{
    "created_epoch": "1121731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1451433600000",
    "number": "1982603353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 23955",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405233955",
            "telephone_number": "859-271-3114",
            "fax_number": "859-271-0220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 PROSPEROUS PLACE",
            "address_2": "SUITE 300",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405091836",
            "telephone_number": "859-271-3114",
            "fax_number": "859-271-0220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUBAL",
        "first_name": "SAROJ",
        "middle_name": "B.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-07-19",
        "last_updated": "2015-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "KY",
            "license": "32292",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "KY",
            "license": "32292",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "KY",
            "license": "32292",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHA HEALTH PIN",
            "identifier": "1168975",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM B/C PIN",
            "identifier": "000000108103",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE PIN",
            "identifier": "2001268",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUEGRASS FAMILY HEALTH",
            "identifier": "C15401",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA PIN",
            "identifier": "611369666",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64322928",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.