Active NPI
Gerald Vincent Klim, DO
- Hospice and Palliative Medicine (Physical Medicine & Rehabilitation) Physician
- Lexington, KY
National Provider Identifier
1992732002
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospice and Palliative Medicine (Physical Medicine & Rehabilitation) Physician
- License
- 02145
- Practice address
- 740 South Limestone
Lexington, KY 40536-0001 - Phone
- (859) 257-4888
- NPI assigned
- Jun 26, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | 02145 | KY | |
| Hospice and Palliative Medicine (Physical Medicine & Rehabilitation) Physician | 2081H0002X | 02145 | KY | Primary |
Addresses
Primary practice location
740 South Limestone
Lexington, KY 40536-0001
Mailing address
138 Leader Ave
Lexington, KY 40508-3215
Phone (859) 257-7910
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 64021454 | Medicaid | KY |
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 Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 02145 | KY | MD | Physical Medicine & Rehabilitation Physician |
Interoperability endpoints
- gklim57872@ukhcdirect.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151280000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1566864000000",
"number": "1992732002",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "138 LEADER AVE",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405083215",
"telephone_number": "859-257-7910",
"fax_number": "859-257-7899"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "740 SOUTH LIMESTONE",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405360001",
"telephone_number": "859-257-4888"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KLIM",
"first_name": "GERALD",
"middle_name": "VINCENT",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-26",
"last_updated": "2019-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "KY",
"license": "02145",
"primary": false
},
{
"code": "2081H0002X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation, Hospice and Palliative Medicine",
"state": "KY",
"license": "02145",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "64021454",
"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 Aug 27, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.