CONCORD MEDICAL GROUP OF KENTUCKY PLLC – Emergency Medicine Physician, NPI 1346746385
Emergency Medicine Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for CONCORD MEDICAL GROUP OF KENTUCKY PLLC
210 Marie Langdon Dr
Manchester, KY 409626388
Phone: (606) 598-5104
Type: Location
4604 US Highway 60 W
Morganfield, KY 424376515
Phone: (270) 389-5000
Type: Location
1400 E 9th St
Rochester, IN 469758931
Phone: (574) 223-3141
Type: Location
1700 Old Lebanon Rd
Campbellsville, KY 427189615
Phone: (270) 465-3561
Type: Location
305 W Locust St
Lafayette, TN 370831712
Phone: (615) 666-2147
Type: Location
1311 E General Cavazos Blvd
Kingsville, TX 783637150
Phone: (361) 595-1661
Type: Location
1011 Old State Rd 60
Hardinsburg, KY 40143
Phone: (270) 765-7000
Type: Location
107 Old Highway 60
Hardinsburg, KY 401432501
Phone: (270) 580-2250
Type: Location
2200 N Section St
Sullivan, IN 478827523
Phone: (812) 268-4311
Fax: (817) 539-3073
Type: Location
135 E Swan St
Centerville, TN 370331417
Phone: (931) 729-4271
Type: Location
1500 E Houston St
Beeville, TX 781025312
Phone: (361) 354-2000
Type: Location
2500 E Main St
Alice, TX 783324261
Phone: (361) 661-8000
Type: Location
PO BOX 3689 DEPT 314
SUGAR LAND, TX 774873310
Phone: (888) 264-0330
Type: Mailing
1011 OLD HIGHWAY 60
HARDINSBURG, KY 401432519
Phone: (270) 756-7000
Fax: (817) 539-3073
Type: Location
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: 2020-08-13
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2026-01-31 (130 days ago).
Enrollment records
4
Earliest due date
2026-01-31
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20180503002233 | O | Clinic/Group Practice | KY | TBD |
| O20191025000956 | O | Clinic/Group Practice | IN | TBD |
| O20191118000999 | O | Clinic/Group Practice | TN | TBD |
| O20200813000525 | O | Clinic/Group Practice | TX | 2026-01-31 |
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.
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 40962)
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