KENTUCKYONE HEALTH MEDICAL GROUP, INC.
KENTUCKYONE HEALTH MEDICAL GROUP, INC. is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1104875970, based in Lexington, KY. The organization lists 14 taxonomy classifications, with Family Medicine Physician recorded as primary.
Getting there
The practice address on file is 1401 HARRODSBURG RD, Lexington, KY 40504. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
NPPES does not list a state licence number for this record. That is not unusual — organizations and some provider types are not required to file one. Verify current licensure with the relevant state board before care.
- Status
- Approved
- Provider type
- Part B Supplier - Clinic/group Practice
- PAC ID
- 8820993702
Medicare enrolment is recorded as approved under the provider type Part B Supplier - Clinic/group Practice. This means the provider is enrolled to bill Medicare, though it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Family Medicine covers
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. NUCC Health Care Provider Taxonomy, code 207Q00000X
All registered taxonomy codes
This provider registers 14 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 207Q00000X | Family Medicine Physician | — | — | primary |
| 101YM0800X | Mental Health Counselor Mental Health | — | — | |
| 363L00000X | Nurse Practitioner | — | — | |
| 2084P0800X | Psychiatry Physician Psychiatry | — | — | |
| 363A00000X | Physician Assistant | — | KY | |
| 101YP2500X | Professional Counselor Professional | — | — | |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician Endocrinology, Diabetes & Metabolism | — | — | |
| 207R00000X | Internal Medicine Physician | — | — | |
| 207RC0000X | Cardiovascular Disease Physician Cardiovascular Disease | — | — | |
| 208600000X | Surgery Physician | — | KY | |
| 207X00000X | Orthopaedic Surgery Physician | — | — | |
| 367500000X | Certified Registered Nurse Anesthetist | — | KY | |
| 207T00000X | Neurological Surgery Physician | — | — | |
| 104100000X | Social Worker | — | — |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.
| NPI | 1104875970 valid check digit |
|---|---|
| Entity type | Organization (NPI-2) |
| Enumeration date | May 9, 2006 |
| Last updated | Sep 23, 2025 |
| Status | Active |
| Practice address |
1401 HARRODSBURG RD Lexington, KY 40504 (606) 330-7835 Fax (606) 330-7825 |
| Mailing address |
PO BOX 936 London, KY 40743 |
| Other identifiers |
000000060604
· ANTHEM GROUP# (KY) 7100200840 (LCSW) (KY) 200434820A (IN) 7100200870 (MD) (KY) 7100200890 (PA) (KY) 7100294690 (LMFT) (KY) 7100201000 (FPAS) (KY) 7100200880 (CRNA) (KY) 78904851 (NP) (KY) |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 1 | 0 | 4 | 8 | 7 | 5 | 9 | 7 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 1 | 0 | 4 | 7 | 7 | 1 | 9 | 5 |
Sum = 60 · next multiple of 10 = 60 · check digit = 0 · actual last digit = 0
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.