Individual provider

Marisa Toomey, M.D.

Developmental - Behavioral Pediatrics Physician Pediatrics Physician Medicare enrolled

Marisa Toomey, M.D. is a Developmental - Behavioral Pediatrics Physician in Lexington, KY, registered under NPI 1528296860. This provider registers 2 separate taxonomy codes, which usually means they practise across more than one recognised specialty.

Getting there

The practice address on file is UNIVERSITY OF KENTUCKY L447 KENTUCKY CLINIC 740 SOUTH LIMESTONE, Lexington, KY 40536. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

UNIVERSITY OF KENTUCKY L447 KENTUCKY CLINIC 740 SOUTH LIMESTONE, Lexington, KY 40536 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
49818 KY Developmental - Behavioral Pediatrics… primary
MT194901 PA Pediatrics Physician
Q4320 TX Developmental - Behavioral Pediatrics…

Licences are recorded in 3 states: KY, PA, TX. Providers licensed in several states often practise near a state border or deliver telehealth across state lines.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - Pediatric Medicine
PAC ID
1153604533

Medicare enrolment is recorded as approved under the provider type Practitioner - Pediatric Medicine. 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.

Licensed in 3 states

This provider holds licences in 3 states: Kentucky, Pennsylvania and Texas. The practice address on file is in Lexington, KY, but a licence in another state usually means they see patients there too — either at a second location or by telehealth. If the address above is far from you, it is worth calling to ask whether they practise closer to where you live.

KY Kentucky practice address
Licence
49818
Specialty
Developmental - Behavioral Pediatrics…
Verify with the KY board →
PA Pennsylvania
Licence
MT194901
Specialty
Pediatrics Physician
Verify with the PA board →
TX Texas
Licence
Q4320
Specialty
Developmental - Behavioral Pediatrics…
Verify with the TX board →

Licence numbers are self-reported to NPPES at registration. They do not confirm a licence is currently active, in good standing, or valid for the specialty shown — only the state board can tell you that, which is why we link to each one.

What Developmental - Behavioral Pediatrics covers

A developmental-behavioral specialist is a pediatrician with special training and experience who aims to foster understanding and promotion of optimal development of children and families through research, education, clinical care and advocacy efforts. This physician assists in the prevention, diagnosis, and management of developmental difficulties and problematic behaviors in children and in the family dysfunctions that compromise children's development. NUCC Health Care Provider Taxonomy, code 2080P0006X
Allopathic & Osteopathic Physicians Pediatrics Developmental - Behavioral Pediatrics

All registered taxonomy codes

This provider registers 3 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
2080P0006X Developmental - Behavioral Pediatrics Physician Developmental - Behavioral Pediatrics 49818 KY primary
208000000X Pediatrics Physician MT194901 PA
2080P0006X Developmental - Behavioral Pediatrics Physician Developmental - Behavioral Pediatrics Q4320 TX

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-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1528296860 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateJun 25, 2009
Last updatedDec 27, 2016
StatusActive
Sole proprietorNo
CredentialM.D.
Practice address UNIVERSITY OF KENTUCKY L447 KENTUCKY CLINIC
740 SOUTH LIMESTONE
Lexington, KY 40536
(859) 257-8992
This record was last updated on Dec 27, 2016, roughly 9 years ago. Address and phone details that old are frequently out of date. Verify by phone before travelling to the address shown.

Number check

1528296860 passes the NPI check digit test The final digit 0 matches the value computed from the first nine digits, so this is a well-formed NPI.
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 5 2 8 2 9 6 8 6
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 5 4 8 4 9 3 8 3

Sum = 70 · next multiple of 10 = 70 · 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.

Common questions

What is NPI number 1528296860?
NPI 1528296860 is the National Provider Identifier assigned to Marisa Toomey, M.D. in Lexington, KY. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Developmental - Behavioral Pediatrics cover?
A developmental-behavioral specialist is a pediatrician with special training and experience who aims to foster understanding and promotion of optimal development of children and families through research, education, clinical care and advocacy efforts. This physician assists in the prevention, diagnosis, and…
How do I contact Marisa Toomey, M.D.?
The phone number on file with NPPES is (859) 257-8992, last updated Dec 27, 2016. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Marisa Toomey, M.D. accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1528296860 a valid number?
Yes. 1528296860 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.