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

Mr. Justin Clay Penticuff

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1134515083

Mr. Justin Clay Penticuff is an Urology in Lexington, Kentucky. Graduated from University of Kentucky College of Medicine in 2016, 10 years ago. Practices with Baptist Health Medical Group Inc, a 2,445-clinician group and accepts Medicare assignment. Licensed in Kentucky.

Years since qualifying
10
Trained at
University of Kentucky College of Medicine
Licensed in
KY
In the registry since
2015
Specialties on file
2
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Practice location Address checks out

810 Cheryl Ln
Lexington, KY 40504-2318
Phone: (859) 749-0248
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Urology Physician (primary) Taxonomy 208800000X · Licence 55255 (KY)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1134515083
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedApril 7, 2015
Last updated in NPPESJuly 6, 2021
Certification dateJuly 6, 2021

Medicare enrollment

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

Medicare specialtyUROLOGY
Medical schoolUNIVERSITY OF KENTUCKY COLLEGE OF MEDICINE
Graduated 2016 (10 years in practice)
Group practice Baptist Health Medical Group Inc — 2445 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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