Individual provider Active NPI

Rebecca P Chatham, MD

  • Family Medicine Physician
  • Danville, KY
National Provider Identifier
1982819728
Registry record updated May 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
40231 Issued in KY
Practice address
120 Enterprise Dr
Danville, KY 40422-1870
Phone
(859) 236-2425
Fax
(859) 236-9776
NPI assigned
May 14, 2007
Last updated
May 10, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 10, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 40231 KY Primary

Addresses

Primary practice location

120 Enterprise Dr
Danville, KY 40422-1870

Mailing address

PO Box 1213
Danville, KY 40423-1213
Phone (859) 236-2425

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
I20070829000064 KY Practitioner - Family Practice 5799877270 Reassigns benefits to 3 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Family Medical Clinic Liberty Family Medicine CurrentSince Aug 27, 2017 Accepting new patients
Advanced Family Medical Clinic Mount Vernon Family Medicine CurrentSince Aug 27, 2017 Accepting new patients
Heritage Hospice, Inc. Family Medicine CurrentSince Jun 1, 2014 Accepting new patients
Heritage Palliative Services, Inc. PastSince Jun 1, 2014 Accepting new patients
Ephraim McDowell Haggin Physicians LLC Family Medicine PastSince Oct 1, 2017 Accepting new patients

Locations

120 Enterprise Dr
Danville, KY 40422
Phone (859) 236-2425

84 Hustonville St
Liberty, KY 42539
Phone (606) 706-7473

79 Sarahs Ln
Somerset, KY 42503
Phone (606) 386-1917

Ownership & related parties

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Ephraim McDowell Regional Medical CenterDanville, KY, CCN 180048 Hospital Corporate Director Jan 1, 2017
Ephraim McDowell Regional Medical CenterDanville, KY, CCN 18S048 Hospital Corporate Director Jan 1, 2017
McDowell Home HealthDanville, KY, CCN 187040 Home health agency Corporate Officer Jan 1, 2019

Owned or controlled facilities with NPI records 4

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 5

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494374400000",
    "number": "1982819728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1213",
            "city": "DANVILLE",
            "state": "KY",
            "postal_code": "404231213",
            "telephone_number": "859-236-2425",
            "fax_number": "859-236-2292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 ENTERPRISE DR",
            "city": "DANVILLE",
            "state": "KY",
            "postal_code": "404221870",
            "telephone_number": "859-236-2425",
            "fax_number": "859-236-9776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHATHAM",
        "first_name": "REBECCA",
        "middle_name": "P",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-14",
        "last_updated": "2017-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "40231",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Danville, KY

Sources for this page

Verify at the official NPI Registry.