Active NPI
Saroj B. Dubal, M.D.
- Interventional Pain Medicine Physician
- Lexington, KY
National Provider Identifier
1982603353
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Pain Medicine Physician
- License
- 32292
- 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.
-
- Interventional Pain Medicine Physician
- Lexington, KY
- NPI 1740211663
Anesthesiology
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Pain Medicine, PSC | Pain Medicine | Past | 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 32292 | KY | |
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | 32292 | KY | |
| Interventional Pain Medicine Physician | 208VP0014X | 32292 | KY | Primary |
Addresses
NPPES NPI RegistryPrimary 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| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1168975 | Other | KY | CHA HEALTH PIN |
| 000000108103 | Other | KY | ANTHEM B/C PIN |
| 2001268 | Other | KY | UNITED HEALTHCARE PIN |
| C15401 | Other | KY | BLUEGRASS FAMILY HEALTH |
| 611369666 | Other | KY | HUMANA PIN |
| 64322928 | Medicaid | KY |
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.