Active NPI
Olivia F Mittel, MD
- Pediatrics Physician
- Louisville, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 44682
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 201029060 | Medicaid | IN | |
| 7100167950 | Medicaid | KY |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| TP893 | KY | MD | Anatomic Pathology & Clinical Pathology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Louisville Physicians, Inc. | Current | Accepting new patients | |
| University of Louisville Physicians, Inc. | Current | Accepting new patients | |
| Community Medical Associates, Inc. | Current | Accepting new patients | |
| Norton Children'S Medical Group, LLC | Pediatrics | Current | Accepting new patients |
| Community Medical Associates, Inc. | Pediatrics | Current | Accepting new patients |
| University of Louisville Physicians, Inc. | Pediatrics | Current | Accepting new patients |
| Norton Children'S Medical Group, LLC | Current | 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.
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KY, Pediatrics
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- NPI 1386904647
Pediatrics
-
- Internal Medicine Physician
- Louisville, KY
- NPI 1881192409
-
- Pediatric Emergency Medicine (Pediatrics) Physician
- Louisville, KY
- NPI 1487292033
Pediatrics
-
- Pediatric Radiology Physician
- Louisville, KY
- NPI 1659913812
-
- Diagnostic Radiology Physician
- Louisville, KY
- NPI 1316294127
-
- Colon & Rectal Surgery Physician
- Louisville, KY
- NPI 1568732097
-
- General Acute Care Hospital
- Louisville, KY
- NPI 1891799227
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.