NPIMap

Individual provider Active NPI

Saima Chishti, PA-C

  • Physician Assistant
  • Louisville, KY
National Provider Identifier
1063295822
Registry record updated Mar 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA3266 Issued in KY
Practice address
2355 Poplar Level Rd Ste 405
Louisville, KY 40217-1389
Phone
(502) 636-7845
Fax
(502) 636-8045
NPI assigned
Aug 16, 2023
Last updated
Mar 20, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 20, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA3266 KY Primary
Medical Physician Assistant 363AM0700X

Addresses

Primary practice location

2355 Poplar Level Rd Ste 405
Louisville, KY 40217-1389

Mailing address

4612 Chamberlain LN Unit 204
Louisville, KY 40241-1071
Phone (502) 425-5556

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240206002080 KY Practitioner - Physician Assistant 0446693568 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2023
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)

2355 Poplar Level Rd
Suite 405
Louisville, KY 40217-1389
Phone (502) 636-7845

315 E Broadway
Louisville, KY 40202-3700

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA3266KYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Norton Hospitals Inc Physician Assistant CurrentSince May 1, 2024 Accepting new patients
Norton Hospitals, Inc CurrentSince May 1, 2024 Accepting new patients
Kentuckiana Ear, Nose & Throat PSC PastSince Feb 10, 1995 Accepting new patients

Locations

2355 Poplar Level Rd
Ste 405
Louisville, KY 40217
Phone (502) 636-7845

315 E Broadway
Louisville, KY 40202
Phone (502) 272-5331

315 E Broadway
Fl 4
Louisville, KY 40202
Phone (502) 272-5165

3991 Dutchmans Ln
Ste 300
Louisville, KY 40207
Phone (502) 889-6782

3991 Dutchmans Ln
Ste 405
Louisville, KY 40207
Phone (502) 899-3366

4915 Norton Healthcare Blvd
Ste 103
Louisville, KY 40241
Phone (502) 446-6640

Interoperability endpoints

  • Direct secure messaging: schishti287714@direct.nortonhealthcare.org

Organizations & group practices 3

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 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1692144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710892800000",
    "number": "1063295822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4612 CHAMBERLAIN LN UNIT 204",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402411071",
            "telephone_number": "502-425-5556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2355 POPLAR LEVEL RD STE 405",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402171389",
            "telephone_number": "502-636-7845",
            "fax_number": "502-636-8045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHISHTI",
        "first_name": "SAIMA",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-16",
        "last_updated": "2024-03-20",
        "certification_date": "2024-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KY",
            "license": "PA3266",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.