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Dr. Mobolanle Asope Elder , MD

Pediatrics โ€ข Georgetown, KY

Active NPI 1245896224 Individual Practitioner Female Practitioner
Practice location in NPPES

196 Bevins Ln Ste F
Georgetown, KY 403248534

Call 5028632818 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

196 Bevins Ln Ste F

Georgetown, KY 403248534

Telephone 5028632818
Fax 5028632764
Organization at the Same NPPES Address or Phone
Bluegrass Pediatrics And Internal Medicine, Pllc Facility NPI 1427229707

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Open Payments general payments, program year 2025

All general payments: $40.88 across 2 records.

By nature of payment

  • Food and Beverage: $40.88 across 2 records.

Reporting-company totals

  • Pfizer Inc.: $20.49 across 1 record.
  • GlaxoSmithKline, LLC.: $20.39 across 1 record.

A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.

See the full table

Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2025 (published June 30, 2026).

Guide: How to read an Open Payments record

NPI first issued

2019

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, โ€œDoes your provider accept Medicare as full payment?โ€

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Dr. Elder has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Dr. Elder as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Georgetown and Kentucky

11 active clinicians are listed under Pediatrics with a practice address in Georgetown, KY (874 in Kentucky).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Georgetown

0% of these 11 clinicians have the CMS telehealth indicator.

0% of these 11 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo ยท Report an error.

Pharma & Medical Device Financial Disclosures

Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments

Open Payments ยท Program Year 2025
Disclosure Year:

Program year 2025 (payments made January 1 โ€“ December 31, 2025): fewer than 11 records totaling $40.88.

Manufacturer Payment Nature Product Type Amount ($)
Pfizer Inc.
Food and Beverage
In-kind items and services
TRUMENBA General $20.49
GlaxoSmithKline, LLC.
Food and Beverage
In-kind items and services
BEXSERO General $20.39

Source: CMS Open Payments, program year 2025, released June 30, 2026.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2026-01-28
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

License # reported to NPPES KY 56363

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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Kentucky Board of Medical Licensure.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID
7100744080 (KY)

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - PEDIATRIC MEDICINE

Medicare Enrollment ID

I20220811001843

Enrollment State Jurisdiction

KY

PECOS Control ID

3971986795

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

2 listed
Dr. Andrew Balbaugh , MD

Internal Medicine

NPI 1265640411

Doctor of Medicine (M.D.)

Dr. Joel Knight , MD

Internal Medicine

NPI 1235292343

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

13 Historical Events
๐Ÿ“
Updated Practice Location January 28, 2026

Registered at 196 BEVINS LN STE F, GEORGETOWN, KY 403248534 (Tel: 5028632818)

๐Ÿ“
Updated Business Mailing Address January 28, 2026

Registered at 196 BEVINS LN STE F, GEORGETOWN, KY 403248534 (Tel: 5028632818)

๐Ÿ“
Updated Business Mailing Address March 16, 2023

Registered at PO BOX 1080, BURKESVILLE, KY 427171080 (Tel: 2708586655)

๐Ÿ“
Updated Practice Location July 21, 2022

Registered at 360 AMSDEN AVE STE 200, VERSAILLES, KY 403831851 (Tel: 8598733570)

๐Ÿ“
Updated Business Mailing Address July 21, 2022

Registered at 360 AMSDEN AVE STE 200, VERSAILLES, KY 403831851 (Tel: 8598733570)

๐Ÿ‘ค
Provider Name / Credentials Updated July 21, 2022

Recorded as MOBOLANLE ELDER, MD

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 21, 2022

Pediatrics (license number reported to NPPES: KY 56363)

โœ…
NPI Profile Active May 15, 2019

NPI status registered as active in NPPES database

๐Ÿ“
Practice Location (Initial Record) May 15, 2019

Registered at 571 S FLOYD ST STE 412, LOUISVILLE, KY 402023877 (Tel: 8593171535)

๐Ÿ“
Business Mailing Address (Initial Record) May 15, 2019

Registered at 571 S FLOYD ST STE 412, LOUISVILLE, KY 402023877 (Tel: 5026298828)

๐Ÿ‘ค
Provider Name / Credentials (Initial Record) May 15, 2019

Recorded as MOBOLANLE SOKAN, MD

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) May 15, 2019

Student in an Organized Health Care Education/Training Program

๐ŸŸข
Initial NPI Registration & Enumeration May 15, 2019

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1245896224
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 15, 2019
Last Update: January 28, 2026
Sole Proprietor: No

Mailing Address

196 Bevins Ln Ste F

Georgetown, KY 403248534

Phone: 5028632818

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.