Organization Active NPI

Hospitalist Associate Team LLC

  • Hospitalist Physician
  • Louisville, KY
National Provider Identifier
1053550897
Registry record updated May 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
Legal business name
HOSPITALIST ASSOCIATE TEAM LLC
Practice address
2115 Club Vista PL
Louisville, KY 40245-5224
Phone
(513) 560-5113
NPI assigned
Feb 18, 2009
Last updated
May 29, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 29, 2025

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

Authorized official

Name
Dr. M Addas, MD
Title
Medical Director
Phone
(513) 560-5113

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X Primary

Addresses

Primary practice location

2115 Club Vista PL
Louisville, KY 40245-5224

Mailing address

PO Box 22787
Louisville, KY 40252-0787
Phone (502) 713-8714

Other identifiers 2

IdentifierTypeStateIssuer
000000620979OtherKYANTHEM
9062366OtherKYAETNA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, IN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20090505000415 KY Part B Supplier - Clinic/Group Practice 5799833588 Receives reassigned benefits from 2 practitioners
Practice locations: Louisville, KY
O20090729000167 IN Part B Supplier - Clinic/Group Practice 5799833588 Receives reassigned benefits from 3 practitioners
Practice locations: Jeffersonville, IN

National Provider Directory

National Provider Directory

Locations

1220 Missouri Ave
Jeffersonvlle, IN 47130
Phone (812) 282-2072

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1234915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748476800000",
    "number": "1053550897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 22787",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402520787",
            "telephone_number": "502-713-8714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2115 CLUB VISTA PL",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402455224",
            "telephone_number": "513-560-5113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOSPITALIST ASSOCIATE TEAM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-18",
        "last_updated": "2025-05-29",
        "certification_date": "2025-05-29",
        "status": "A",
        "authorized_official_last_name": "ADDAS",
        "authorized_official_first_name": "M",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "513-560-5113",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000620979",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "9062366",
            "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 May 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.