Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1629386701 Individual Practitioner Male Practitioner

Dr. Goutham Hebbalmath , MD

Pediatrics • Corbin, KY

Professional Overview & Biography Verified Profile Summary

Dr. Goutham Hebbalmath, MD is a registered healthcare professional specializing in Pediatrics in Corbin, KY. Practice services are available at 57 SUMMIT DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

57 Summit Dr

Corbin, KY 407012746

Telephone 6065289700
Fax 6065288423
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Corbin, KY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 19.3 Yrs
Regional Practice Density
5 Specialists

Practicing in Corbin, KY (910 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License KY 46189

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
7100256410 (KY)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

10 Associated Practitioners
Lindsay Nunley , APRN

Nurse Practitioner - Primary Care

NPI 1114449246

Advanced Practice Registered Nurse

NPI 1194997502

Doctor of Medicine (M.D.)

Ollie Gibbons , APRN

Nurse Practitioner - Pediatrics

NPI 1235894700

Advanced Practice Registered Nurse

Melissa Trent , APRN

Nurse Practitioner - Pediatrics

NPI 1235896234

Advanced Practice Registered Nurse

Tamara Niemeier , ARNP

Nurse Practitioner - Pediatrics

NPI 1265439202

Advanced Registered Nurse Practitioner

Michael Campbell , APRN

Nurse Practitioner - Pediatrics

NPI 1285108423

Advanced Practice Registered Nurse

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active September 08, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location September 08, 2016

Registered at 57 SUMMIT DR, CORBIN, KY 407012746 (Tel: 6065289700)

📍
Updated Business Mailing Address September 08, 2016

Registered at 57 SUMMIT DR, CORBIN, KY 407012746 (Tel: 6065289700)

👤
Provider Name / Credentials Updated September 08, 2016

Recorded as GOUTHAM HEBBALMATH, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 08, 2016

Pediatrics (License #46189 in KY)

🟢
Initial NPI Registration & Enumeration September 22, 2010

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1629386701
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 22, 2010
Last Update: September 08, 2016
Sole Proprietor: No

Mailing Address

57 Summit Dr

Corbin, KY 407012746

Phone: 6065289700

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.