Individual provider Active NPI

Olivia F Mittel, MD

  • Pediatrics Physician
  • Louisville, KY
National Provider Identifier
1013170901
Registry record updated Oct 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
44682 Issued in KY
Practice address
231 E Chestnut St
Louisville, KY 40202-1821
Phone
(502) 629-6000
Fax
(502) 852-4989
NPI assigned
Jul 9, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 44682 KY Primary

Addresses

Primary practice location

231 E Chestnut St
Louisville, KY 40202-1821

Mailing address

PO Box 909
Louisville, KY 40201-0909
Phone (502) 629-6000

Other identifiers 2

IdentifierTypeStateIssuer
201029060MedicaidIN
7100167950MedicaidKY

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address omittel45639@direct.nortonhealthcare.org
Other URL https://epicsoap.nortonhealthcare.org/FHIRPRD/api/FHIR/DSTU2/

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110805000800 KY Practitioner - Pediatric Medicine 1355510462 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
TP893KYMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Louisville Physicians, Inc. CurrentSince Sep 1, 2012 Accepting new patients
University of Louisville Physicians, Inc. CurrentSince Sep 1, 2012 Accepting new patients
Community Medical Associates, Inc. CurrentSince Oct 30, 2011 Accepting new patients
Norton Children'S Medical Group, LLC Pediatrics CurrentSince Feb 1, 2020 Accepting new patients
Community Medical Associates, Inc. Pediatrics CurrentSince Oct 30, 2011 Accepting new patients
University of Louisville Physicians, Inc. Pediatrics Current Accepting new patients
Norton Children'S Medical Group, LLC CurrentSince Feb 1, 2020 Accepting new patients
Norton Children'S Medical Group, LLC Current Accepting new patients
Community Medical Associates, Inc. Current Accepting new patients
Norton Hospitals, Inc Past Accepting new patients
Norton Childrens Medical Group, LLC Pediatrics Past Accepting new patients

Locations

7752 Solution Ctr
Chicago, IL 60677

1700 Old Lebanon Rd
Campbellsvlle, KY 42718
Phone (270) 465-3561

571 S Floyd St
Louisville, KY 40202
Phone (502) 561-2700

4910 Chamberlain Ln
Louisville, KY 40241
Phone (502) 446-5000

231 E Chestnut St
Louisville, KY 40202
Phone (502) 852-8500

825 Barret Ave
Louisville, KY 40204
Phone (502) 272-5165

601 S Floyd St
Ste 604
Louisville, KY 40202
Phone (502) 559-1670

1100 E Market St
Louisville, KY 40206
Phone (502) 596-1000

530 S Jackson St
Louisville, KY 40202
Phone (502) 562-3000

411 E Chestnut St
#4B
Louisville, KY 40202
Phone (502) 588-3600

200 E Chestnut St
Louisville, KY 40202
Phone (502) 446-8000

Organizations & group practices 11

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

NPI Registry JSON

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

{
    "created_epoch": "1215561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603670400000",
    "number": "1013170901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 909",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402010909",
            "telephone_number": "502-629-6000",
            "fax_number": "502-852-4989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "231 E CHESTNUT ST",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402021821",
            "telephone_number": "502-629-6000",
            "fax_number": "502-852-4989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITTEL",
        "first_name": "OLIVIA",
        "middle_name": "F",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-09",
        "last_updated": "2020-10-26",
        "certification_date": "2020-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "KY",
            "license": "44682",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201029060",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100167950",
            "state": "KY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "omittel45639@direct.nortonhealthcare.org",
            "affiliation": "N",
            "address_1": "231 E Chestnut St",
            "city": "Louisville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "402021821",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://epicsoap.nortonhealthcare.org/FHIRPRD/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "231 E Chestnut St",
            "city": "Louisville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "402021821",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.