ACUTE CARE BILLING KY, LLC — NPI 1114125671 (Board-Certified Emergency Medicine Physician (ER / Trauma Doctor) in OWENTON, KY)

CMS-1500 Box 24J / 33a • NPI

1114125671

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

207PE0004X (CMS 93)

Board-Certified Emergency Medicine Physician (ER / Trauma Doctor)

Box 32 Service Location & ZIP+4

330 ROLAND AVE, OWENTON, KY, 40359-1502

✓ 9-Digit EDI 837 ZIP+4 (40359-1502)

Practice Phone & Referral Fax

(502) 484-3663

Direct NPPES Verification Line

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1114125671 (ACUTE CARE BILLING KY, LLC) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1114125671` (NPI-2 Organization / Facility)
Provider / Legal Name	ACUTE CARE BILLING KY, LLC
Plain-English Specialty	Board-Certified Emergency Medicine Physician (ER / Trauma Doctor) NUCC Code: `207PE0004X` (Emergency Medicine, Emergency Medical Services)
Certifying / Licensing Body	American Board of Emergency Medicine (ABEM)
Practice Location Address	330 ROLAND AVE, OWENTON, KY, 40359-1502
Practice Telephone / Fax	Tel: (502) 484-3663
Administrative Mailing Address	1609 N ANKENY BLVD, ANKENY, IA, 50023-4165
Enumeration & Last Sync	Enumerated: 2007-07-06 \| CMS Record Updated: 2020-08-22
Authorized Official	LORI FROST (Assistant Vice President)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

330 ROLAND AVE, OWENTON, KY, 40359-1502

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Plain-English Taxonomy & CMS Crosswalk (207PE0004X)

What Does Taxonomy Code 207PE0004X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 207PE0004X translates to:
"Board-Certified Emergency Medicine Physician (ER / Trauma Doctor)"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 93 (Physician/Emergency Medicine)
Certifying / Accrediting Authority: American Board of Emergency Medicine (ABEM)
Clinical Scope: Immediate life-or-limb emergencies, severe chest pain, stroke symptoms, deep contaminated wounds needing tetanus prophylaxis, or severe dehydration.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (ACUTE CARE BILLING KY, LLC)

Typical CPT / Diagnostic Procedures:

Level 4 & Level 5 Emergency Department Resuscitation (CPT 99284–99285)
Point-of-Care Emergency Ultrasound (eFAST), Intubation & Central Line Placement
Acute Laceration Repair, Tetanus Prophylaxis & Fracture Splinting

Common Therapeutic Classes:

Epinephrine Auto-Injectors / IV Infusions, Atropine & Amiodarone
Tetanus Toxoid / Tdap & Tetanus Immunoglobulin (TIG)
Empiric Sepsis Antibiotics, Parenteral Ketorolac & Ondansetron

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`207PE0004X` — Emergency Medicine, Emergency Medical Services Plain English: Board-Certified Emergency Medicine Physician (ER / Trauma Doctor)	State: N/A \| License: `Verified` \| Primary: Yes (Primary)

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ACUTE CARE BILLING KY, LLC (NPI #1114125671)