Kentucky Mso LLC
NPI 1164867883 · Gastroenterology Physician · Georgetown, KY
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kentucky Mso LLC is a Gastroenterology Physician organization in Georgetown, KY (NPI 1164867883).
Provider details
- NPI number
- 1164867883
- Entity type
- Organization
- Primary specialty
- Gastroenterology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Monica Bowman, Corporate Secretary(615) 920-7000
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Internal Medicine Physician207R00000X
Allopathic & Osteopathic Physicians
- Physician Assistant363A00000X
Physician Assistants & Advanced Practice Nursing Providers
- Nurse Practitioner363L00000X
Physician Assistants & Advanced Practice Nursing Providers
- Family Nurse Practitioner363LF0000X
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Gastroenterology and Hepatology of the Bluegrass
- Doing business as
- Gastroenterology and Hepatology of the Bluegrass
Additional practice locations (1)
- 138 Professional AveWinchester, KY 40391-1116Phone: (505) 570-3751Fax: (505) 570-3722
Registry dates
- Enumerated
- 2013-05-08
- Last updated
- 2023-04-21
- Certified
- 2023-04-21
Frequently asked questions
- What is Kentucky Mso LLC's NPI number?
- Kentucky Mso LLC's National Provider Identifier (NPI) is 1164867883, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Kentucky Mso LLC?
- Kentucky Mso LLC is classified in the NPPES registry as Gastroenterology Physician (Allopathic & Osteopathic Physicians).
- Where is Kentucky Mso LLC located?
- Kentucky Mso LLC's practice location on file with NPPES is 1138 Lexington Rd, Georgetown, KY 40324-9672.
- What is Kentucky Mso LLC's phone number?
- The practice phone number listed in the NPPES registry for Kentucky Mso LLC is (502) 570-3721.
- Does Kentucky Mso LLC accept Medicare?
- Kentucky Mso LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Kentucky Mso LLC?
- The authorized official listed on Kentucky Mso LLC's NPPES record is Monica Bowman, Corporate Secretary. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Kentucky Mso LLC's NPI active?
- Yes — Kentucky Mso LLC's NPI (1164867883) is active in the NPPES registry as of the last update on 2023-04-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.