Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Jeevan Pauly Joseph, MD

Individual provider Internal Medicine Physician · NPI 1295182731

Dr. Jeevan Pauly Joseph, MD is an Internal Medicine in Crestview Hills, Kentucky. Qualified in 2014, 12 years ago. Practices with Summit Medical Group Inc, a 799-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Florida and Kentucky.

Years since qualifying
12
Licensed in
FL, KY
In the registry since
2016
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

334 Thomas More Pkwy
Crestview Hills, KY 41017-3464
Phone: (859) 341-0288
Fax: (859) 341-7482
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 9400 Turkey Lake Rd, Orlando, FL 32819 — (321) 843-5500
  • 500 Gypsy Ln, Youngstown, OH 44504-1315 — (330) 884-4250

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 55956 (KY)
Internal Medicine Physician Taxonomy 207R00000X · Licence ME139375 (FL)

Record details

NPI number1295182731
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedMay 14, 2016
Last updated in NPPESAugust 9, 2023
Certification dateAugust 9, 2023
Mailing address9400 Turkey Lake Rd, Orlando, FL 32819-8001

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Summit Medical Group Inc — 799 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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