Active NPI
Michael W Fleming, MD
- Psychiatry Physician
- Louisville, KY
National Provider Identifier
1033273610
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 21499
- Practice address
- 7400 New Lagrange Rd
Ste. 301
Louisville, KY 40222-4870 - Phone
- (502) 425-3815
- Fax
- (502) 425-3741
- NPI assigned
- Dec 20, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 21499 | KY | Primary |
Addresses
Primary practice location
7400 New Lagrange Rd
Ste. 301
Louisville, KY 40222-4870
Mailing address
7400 New Lagrange Rd
Ste. 301
Louisville, KY 40222-4870
Phone (502) 425-3815
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 64214992 | Medicaid | KY | |
| 21499 | Other | KY | STATE LICENSE # |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21499 | KY | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166572800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1033273610",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7400 NEW LAGRANGE RD",
"address_2": "STE. 301",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402224870",
"telephone_number": "502-425-3815",
"fax_number": "502-425-3741"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7400 NEW LAGRANGE RD",
"address_2": "STE. 301",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402224870",
"telephone_number": "502-425-3815",
"fax_number": "502-425-3741"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLEMING",
"first_name": "MICHAEL",
"middle_name": "W",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-20",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "KY",
"license": "21499",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "64214992",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE #",
"identifier": "21499",
"state": "KY"
}
],
"endpoints": [],
"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 Mar 7, 2023; 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.