OWENSBORO MEDICAL PRACTICE, PLLC
OWENSBORO MEDICAL PRACTICE, PLLC is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1851315105, based in Owensboro, KY. The organization lists 11 taxonomy classifications, with Cardiovascular Disease Physician recorded as primary.
Getting there
The practice address on file is 1200 BRECKENRIDGE ST, Owensboro, KY 42303. 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
| Licence | State | Specialty |
|---|---|---|
| 28753 | KY | Interventional Cardiology Physician |
This provider holds licence 28753 issued in KY. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
- Status
- Approved
- Provider type
- Part B Supplier - Clinic/group Practice
- PAC ID
- 0446157671
Enrolled in Medicare 2 times, across 1 state:
| State | Enrollment ID | Provider type |
|---|---|---|
| Kentucky | O20031216000797 | Part B Supplier - Clinic/group Practice |
| Kentucky | O20120719000542 | Dme Supplier - Multi-specialty - Physician |
Medicare enrolment is recorded as approved under the provider type Part B Supplier - Clinic/group Practice. There are 2 separate enrolment records. Multiple enrolments usually mean the provider bills Medicare from more than one practice location, or has kept an earlier enrolment after moving. Each record carries its own enrolment ID, listed above. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Cardiovascular Disease covers
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. NUCC Health Care Provider Taxonomy, code 207RC0000X
All registered taxonomy codes
This provider registers 11 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 207RC0000X | Cardiovascular Disease Physician Cardiovascular Disease | — | — | primary |
| 207Q00000X | Family Medicine Physician | — | — | |
| 207R00000X | Internal Medicine Physician | — | — | |
| 207RI0011X | Interventional Cardiology Physician Interventional Cardiology | 28753 | KY | |
| 207RP1001X | Pulmonary Disease Physician Pulmonary Disease | — | — | |
| 207RS0012X | Sleep Medicine (Internal Medicine) Physician Sleep Medicine | — | — | |
| 2084N0400X | Neurology Physician Neurology | — | — | |
| 363A00000X | Physician Assistant | — | — | |
| 363LA2200X | Adult Health Nurse Practitioner Adult Health | — | — | |
| 363LF0000X | Family Nurse Practitioner Family | — | — | |
| 363LG0600X | Gerontology Nurse Practitioner Gerontology | — | — |
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 | 1851315105 valid check digit |
|---|---|
| Entity type | Organization (NPI-2) |
| Enumeration date | Jul 27, 2006 |
| Last updated | Feb 18, 2022 |
| Status | Active |
| Practice address |
1200 BRECKENRIDGE ST Owensboro, KY 42303 (270) 683-8672 Fax (270) 685-8223 |
| Other identifiers |
78901972
· Medicaid (KY) 65934192 · Medicaid (KY) 95901260 · Medicaid (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 | 8 | 5 | 1 | 3 | 1 | 5 | 1 | 0 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 8 | 1 | 1 | 6 | 1 | 1 | 1 | 0 |
Sum = 45 · next multiple of 10 = 50 · check digit = 5 · actual last digit = 5
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.