MEANS ADULT PRIMARY CARE CLINIC OF KENTUCKY PLLC – Rural Health Clinic/Center, NPI 1205935814

MEANS ADULT PRIMARY CARE CLINIC OF KENTUCKY PLLC is a healthcare provider. based in Mt sterling, Kentucky. specializing in Rural Health Clinic/Center. The NPI Number for MEANS ADULT PRIMARY CARE CLINIC OF KENTUCKY PLLC is 1205935814

Main info

Organization
Name
MEANS ADULT PRIMARY CARE CLINIC OF KENTUCKY PLLC
NPI
1205935814
Phone
(859) 499-0717
Address
148 SKYVIEW DR
Authorized Official
REZKALLA BUTROS OWNER MD
Enumeration Date
21 September 2006
Last Update Date
10 May 2024
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness75
Years active:19State licenses:0Digital endpointsOther names

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Provider Addresses for MEANS ADULT PRIMARY CARE CLINIC OF KENTUCKY PLLC

  • 148, Skyview Drive, Mount Sterling, Montgomery County, Kentucky, 40353, United States

    MT STERLING, KY 403531496

    Phone: (859) 499-0717

    Fax: (859) 499-0926

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2019-08-12

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2023-08-31 (1016 days ago).

Enrollment records

2

Earliest due date

2023-08-31

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20031218000659OClinic/Group PracticeKY2023-08-31
O20190812002291ORural Health ClinicKY2024-10-31

What to do next

  • Verify current status on the CMS Revalidation Lookup Tool immediately.
  • Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
  • Overdue revalidation can lead to deactivation of Medicare billing privileges.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 40353)

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Reviews

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Frequently asked questions

Where can patients find MEANS ADULT PRIMARY CARE CLINIC OF KENTUCKY PLLC's NPI?
You can confirm MEANS ADULT PRIMARY CARE CLINIC OF KENTUCKY PLLC with NPI 1205935814; it appears in the national provider directory.
Does this profile mean MEANS ADULT PRIMARY CARE CLINIC OF KENTUCKY PLLC is currently active?
Yes — MEANS ADULT PRIMARY CARE CLINIC OF KENTUCKY PLLC appears active in the national provider directory.
What kind of provider is MEANS ADULT PRIMARY CARE CLINIC OF KENTUCKY PLLC?
The page reflects Rural Health Clinic/Center for MEANS ADULT PRIMARY CARE CLINIC OF KENTUCKY PLLC. Clinical services aligned with this taxonomy classification.
What location metadata exists for MEANS ADULT PRIMARY CARE CLINIC OF KENTUCKY PLLC?
The page summarizes Mt Sterling, Kentucky for MEANS ADULT PRIMARY CARE CLINIC OF KENTUCKY PLLC; expand the address list for detail.
How can I contact MEANS ADULT PRIMARY CARE CLINIC OF KENTUCKY PLLC?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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