NPIMap

Individual provider Active NPI

Mian Mushtaq, M.D.

  • Hematology & Oncology Physician
  • Louisville, KY
National Provider Identifier
1043266174
Registry record updated Sep 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
01047786A Issued in IN
Practice address
676 S Floyd St Ste 200
Louisville, KY 40202-1840
Phone
(502) 629-2500
Fax
(502) 629-4445
NPI assigned
May 26, 2006
Last updated
Sep 4, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X 01047786A IN Primary

Addresses

Primary practice location

676 S Floyd St Ste 200
Louisville, KY 40202-1840

Mailing address

676 S Floyd St Ste 200
Louisville, KY 40202-1840
Phone (502) 629-2500

Other practice location 1

301 Gordon Gutmann Blvd Ste 301
Jeffersonville, IN 47130-3767
Phone (812) 288-9969

Other identifiers 2

IdentifierTypeStateIssuer
64053093MedicaidKY
200437800MedicaidIN

Electronic endpoints 2

TypeEndpointUseAffiliation
FHIR URL https://epicsoap.nortonhealthcare.org/
Direct Messaging Address mmushtaq20854@direct.nortonhealthcare.org

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
I20040701000398 KY Practitioner - Hematology/OncologyPractitioner - Internal MedicinePractitioner - Medical Oncology 9234116971 Reassigns benefits to 1 organization
I20080609000844 IN Practitioner - Internal MedicinePractitioner - Infectious DiseasePractitioner - Hematology/Oncology 9234116971 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Hematology/Oncology
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Norton Hospitals, IncGroup PAC ID 9830001528, 137 clinicians

Practice addresses (Care Compare)

Jeffersonville, IN 47130
Phone (812) 288-9969

1 Audubon Plaza Dr
Louisville, KY 40217-1318
Phone (502) 636-8334

200 E Chestnut St
FL 6
Louisville, KY 40202-1831
Phone (502) 629-2806

234 E Gray St
Suite 154
Louisville, KY 40202-1903
Phone (502) 629-2500

301 W 13TH St
Suite 301
Jeffersonville, IN 47130-3767
Phone (812) 288-9969

315 E Broadway
Louisville, KY 40202-3700

676 S Floyd St
Louisville, KY 40202-1840
Phone (502) 629-4555

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.73 of 100Reported as group
Quality
73.7
Promoting interoperability
100
Improvement activities
40
Cost
60.18

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01047786AINMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Metro Hematology Oncology, PLLC Hematology & Oncology PastSince Apr 1, 2010 Accepting new patients
University Obstetrical and Gynecological Associates, PSC Past Accepting new patients
Jane Todd Crawford Memorial Hospital Inc. Past Accepting new patients
Jane Todd Crawford Memorial Hospital, Inc. Past Accepting new patients
Jane Todd Hospital Radiological Associates,LLC Past Accepting new patients
Hospital Internal Medicine Associates, PLLC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: mmushtaq20854@direct.nortonhealthcare.org

Organizations & group practices 7

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 20

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

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788480000000",
    "number": "1043266174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "676 S FLOYD ST STE 200",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402021840",
            "telephone_number": "502-629-2500",
            "fax_number": "502-629-4445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "676 S FLOYD ST STE 200",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402021840",
            "telephone_number": "502-629-2500",
            "fax_number": "502-629-4445"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "301 Gordon Gutmann Blvd Ste 301",
            "address_purpose": "LOCATION",
            "city": "Jeffersonville",
            "state": "IN",
            "postal_code": "471303767",
            "country_code": "US",
            "telephone_number": "812-288-9969",
            "fax_number": "812-288-9657",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MUSHTAQ",
        "first_name": "MIAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-26",
        "last_updated": "2026-09-04",
        "certification_date": "2026-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "IN",
            "license": "01047786A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64053093",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200437800",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicsoap.nortonhealthcare.org/",
            "affiliation": "N",
            "address_1": "301 Gordon Gutmann Blvd",
            "address_2": "Ste 301",
            "city": "Jeffersonville",
            "state": "IN",
            "country_code": "US",
            "postal_code": "471303764",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mmushtaq20854@direct.nortonhealthcare.org",
            "affiliation": "N",
            "address_1": "301 Gordon Gutmann Blvd",
            "address_2": "Ste 301",
            "city": "Jeffersonville",
            "state": "IN",
            "country_code": "US",
            "postal_code": "471303764",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.