Active NPI
Gregory L Pittman, MD
- Neurology Physician
- Louisville, KY
National Provider Identifier
1043297237
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 21691
- Practice address
- 3900 Kresge Way
Suite 56
Louisville, KY 40207-4683 - Phone
- (502) 895-7265
- Fax
- (502) 897-2113
- NPI assigned
- Dec 28, 2005
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 21691 | KY | Primary |
Addresses
Primary practice location
3900 Kresge Way
Suite 56
Louisville, KY 40207-4683
Mailing address
PO Box 950248
Louisville, KY 40295-0248
Phone (502) 238-2801
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00719573 | Other | KY | RAILROAD MEDICARE |
| 64216914 | Medicaid | KY | |
| 000000619310 | Other | KY | ANTHEM |
| 100373790 | Medicaid | IN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 32608 | KY | MD | Family Medicine Physician |
| 21691 | KY | MD | Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baptist Health Medical Group Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
-
dba CBC Group Consulting in Blood Disorders & Cancer
- Hematology & Oncology Physician
- Louisville, KY
- NPI 1487984514
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135728000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1386892800000",
"number": "1043297237",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 950248",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402950248",
"telephone_number": "502-238-2801",
"fax_number": "502-238-2835"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3900 KRESGE WAY",
"address_2": "SUITE 56",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402074683",
"telephone_number": "502-895-7265",
"fax_number": "502-897-2113"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PITTMAN",
"first_name": "GREGORY",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-28",
"last_updated": "2013-12-13",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "KY",
"license": "21691",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00719573",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "64216914",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000619310",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100373790",
"state": "IN"
}
],
"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 Dec 13, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.