NPIMap

Individual provider Active NPI

Michael J Brown, MD

  • Otolaryngology Physician
  • Louisville, KY
National Provider Identifier
1003865304
Registry record updated Jul 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
35789 Issued in KY
Practice address
3999 Dutchmans LN, Suite #3a
Suburban Plaza One
Louisville, KY 40207-4714
Phone
(502) 897-7300
Fax
(502) 897-3332
NPI assigned
May 6, 2006
Last updated
Jul 21, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 35789 KY Primary
Otolaryngology Physician 207Y00000X 01058901A IN

Addresses

Primary practice location

3999 Dutchmans LN, Suite #3a
Suburban Plaza One
Louisville, KY 40207-4714

Mailing address

3999 Dutchmans LN, Suite #3a
Suburban Plaza One
Louisville, KY 40207-4714
Phone (502) 897-7300

Other identifiers 10

IdentifierTypeStateIssuer
50004083OtherKYKENTUCKY PASSPORT #
64078066MedicaidKY
000000335350OtherKYKENTUCKY ANTHEM NUMBER
200458400OtherININDIANA GROUP MEDICAID #
2445466000OtherKYPASSPORT ADVANTAGE #
7063240OtherCIGNA
7455590OtherAETNA
000000335350OtherININDIANA ANTHEM NUMBER
200483440AMedicaidIN
P00163950OtherRAILROAD MEDICARE NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, IN2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040622000709 KY Practitioner - OtolaryngologyPractitioner - Allergy/Immunology 7113902313 Reassigns benefits to 2 organizations
I20040920000270 IN Practitioner - Otolaryngology 7113902313 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
University of Louisville School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
ENT Care Centers PLLCGroup PAC ID 2961896832, 11 clinicians

Practice addresses (Care Compare)

1263 Hospital Dr NW
Suite 100
Corydon, IN 47112-2173
Phone (502) 897-7300

3999 Dutchmans LN
Suite 3a
Louisville, KY 40207-4747
Phone (502) 897-7300

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
54.53 of 100Reported as group
Quality
85.56
Promoting interoperability
0
Improvement activities
20
Cost
71.2

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper gastrointestinal (GI) endoscopy for acid reflux1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
01058901AINMDOtolaryngology Physician
35789KYMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
ENT Care Centers PLLC Otolaryngology CurrentSince Apr 1, 2022 Accepting new patients
Baptist Health Deaconess Medical Group Inc CurrentSince Sep 5, 2024 Accepting new patients
Baptist Health Deaconess Medical Group Inc Otolaryngology Current Accepting new patients
Baptist Health Deaconess Medical Group Inc CurrentSince Sep 5, 2024 Accepting new patients
Kentuckiana Ear, Nose & Throat PSC Otolaryngology PastSince Feb 10, 1995 Accepting new patients

Locations

1263 Hospital Dr NW
Ste 100
Corydon, IN 47112
Phone (502) 888-1988

301 Gordon Gutmann Blvd
Ste 402
Jeffersonville, IN 47130
Phone (502) 894-8441

1405 Spring St
Jeffersonvlle, IN 47130
Phone (502) 894-8441

170 Dr Arla Way
Ste 102
Louisville, KY 40229
Phone (502) 897-7300

3999 Dutchmans Ln
Ste 3A
Louisville, KY 40207
Phone (502) 897-7300

5129 Dixie Hwy
Ste 209
Louisville, KY 40216
Phone (502) 447-3265

6420 Dutchmans Pkwy
Ste 380
Louisville, KY 40205
Phone (502) 894-8441

9850 Von Allmen Ct
Ste 104
Louisville, KY 40241
Phone (502) 894-8441

800 Hospital Dr
Fl 2
Madisonville, KY 42431
Phone (270) 326-3900

800 Hospital Dr
Fl 3
Madisonville, KY 42431
Phone (270) 326-4710

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 42

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 42

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1146873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1311206400000",
    "number": "1003865304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3999 DUTCHMANS LN, SUITE #3A",
            "address_2": "SUBURBAN PLAZA ONE",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402074714",
            "telephone_number": "502-897-7300",
            "fax_number": "502-897-3332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3999 DUTCHMANS LN, SUITE #3A",
            "address_2": "SUBURBAN PLAZA ONE",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402074714",
            "telephone_number": "502-897-7300",
            "fax_number": "502-897-3332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "MICHAEL",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-06",
        "last_updated": "2011-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "KY",
            "license": "35789",
            "primary": true
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "IN",
            "license": "01058901A",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KENTUCKY PASSPORT #",
            "identifier": "50004083",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64078066",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KENTUCKY ANTHEM NUMBER",
            "identifier": "000000335350",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIANA GROUP MEDICAID #",
            "identifier": "200458400",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PASSPORT ADVANTAGE #",
            "identifier": "2445466000",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "7063240",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7455590",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIANA ANTHEM NUMBER",
            "identifier": "000000335350",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200483440A",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE NUMBER",
            "identifier": "P00163950",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.