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

Oliver James Fackelmayer, MD

Individual provider Surgery Physician · NPI 1629463666

Oliver James Fackelmayer, MD is a General Surgery in Lexington, Kentucky. Graduated from New York Medical College in 2015, 11 years ago. Practices with Kentucky Medical Services Foundation, Inc, a 952-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in California, Colorado and Kentucky.

Years since qualifying
11
Trained at
New York Medical College
Licensed in
CA, CO, KY
In the registry since
2015
Specialties on file
3
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

125 E Maxwell St Ste 302
Lexington, KY 40508-2678
Phone: (859) 218-2774
Fax: (859) 323-6727
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 100 Ucla Medical Plaza Suite 310, Los Angeles, CA 90095-2581 — (310) 267-7838

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 54895 (KY)
Surgery Physician Taxonomy 208600000X · Licence A166863 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X (CO)

Record details

NPI number1629463666
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 6, 2015
Last updated in NPPESAugust 31, 2021
Certification dateAugust 24, 2021

Medicare enrollment

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

Medicare specialtyGENERAL SURGERY
Medical schoolNEW YORK MEDICAL COLLEGE
Graduated 2015 (11 years in practice)
Group practice Kentucky Medical Services Foundation, Inc — 952 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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