Bluegrass Id Associated LLC
NPI 1588402044 · Infectious Disease Physician · Wellington, FL
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Bluegrass Id Associated LLC is a Infectious Disease Physician organization in Wellington, FL (NPI 1588402044).
Provider details
- NPI number
- 1588402044
- Entity type
- Organization
- Primary specialty
- Infectious Disease PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Gazala Khan, Manager(714) 944-8105
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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
Registry dates
- Enumerated
- 2024-07-18
- Last updated
- 2024-07-18
- Certified
- 2024-07-11
Frequently asked questions
- What is Bluegrass Id Associated LLC's NPI number?
- Bluegrass Id Associated LLC's National Provider Identifier (NPI) is 1588402044, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Bluegrass Id Associated LLC?
- Bluegrass Id Associated LLC is classified in the NPPES registry as Infectious Disease Physician (Allopathic & Osteopathic Physicians).
- Where is Bluegrass Id Associated LLC located?
- Bluegrass Id Associated LLC's practice location on file with NPPES is Bluegrass Id Associated LLC, Wellington, FL 33414.
- What is Bluegrass Id Associated LLC's phone number?
- The practice phone number listed in the NPPES registry for Bluegrass Id Associated LLC is (714) 944-8105.
- Does Bluegrass Id Associated LLC accept Medicare?
- Bluegrass Id Associated 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 Bluegrass Id Associated LLC?
- The authorized official listed on Bluegrass Id Associated LLC's NPPES record is Gazala Khan, Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Bluegrass Id Associated LLC's NPI active?
- Yes — Bluegrass Id Associated LLC's NPI (1588402044) is active in the NPPES registry as of the last update on 2024-07-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.