Individual provider Active NPI

Adrian J Pellegrini, M.D.

  • Psychiatry Physician
  • Louisville, KY
National Provider Identifier
1063415099
Registry record updated Mar 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
25430 Issued in KY
Practice address
4003 Kresge Way
Ste 224
Louisville, KY 40207-4652
Phone
(502) 899-9980
Fax
(502) 899-9981
NPI assigned
May 23, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 5, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 25430 KY Primary
Psychiatry Physician 2084P0800X V6511 TX

Addresses

Primary practice location

4003 Kresge Way
Ste 224
Louisville, KY 40207-4652

Mailing address

4121 Shelbyville Rd Ste 3
Louisville, KY 40207-3205
Phone (502) 899-9980

Other identifiers 1

IdentifierTypeStateIssuer
64254303MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, IN, MI, OH, TX5 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 5

Enrollment IDStateProvider typePAC IDDetails
I20040205000291 KY Practitioner - Internal MedicinePractitioner - Psychiatry 4486547247 Reassigns benefits to 3 organizations
Practice locations: Louisville, KY
I20220420000674 IN Practitioner - Internal Medicine 4486547247 Reassigns benefits to 3 organizations
I20230825000582 MI Practitioner - Psychiatry 4486547247 Reassigns benefits to 2 organizations
I20230912003024 OH Practitioner - Psychiatry 4486547247 Reassigns benefits to 3 organizations
I20251021001982 TX Practitioner - Psychiatry 4486547247 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
University of Louisville School of Medicine, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ipc Pac Healthcare Services of Texas PLLCGroup PAC ID 1759676307, 42 clinicians
Kentucky Post-Acute Medical Services 1 PSCGroup PAC ID 9234471426, 25 clinicians
Illinois Post-Acute Medical Services 1 PCGroup PAC ID 6305112103, 20 clinicians

Practice addresses (Care Compare)

2019 N Frazier St
Conroe, TX 77301-1233
Phone (936) 760-2120

515 Nerinx Rd
Nerinx, KY 40049-9998
Phone (800) 385-2527

6830 Overlook Dr
Louisville, KY 40241-6579
Phone (502) 423-7177

723 Old Burkesville Rd
Albany, KY 42602-1654
Phone (606) 387-8000

833 Park E Blvd
Lafayette, IN 47905-0785
Phone (765) 743-4400

871 Pacer Dr NW
Corydon, IN 47112-2145
Phone (812) 572-4897

999 Raintree Cir
Allen, TX 75013-4947
Phone (972) 390-8088

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25430KYMDPsychiatry Physician
V6511TXMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ipc Pac Healthcare Services of Texas PLLC CurrentSince Sep 29, 2025 Accepting new patients
Adrian J Pellegrini MD Psychiatry CurrentSince Jun 1, 1999 Accepting new patients
Ohio Post-Acute Medical Services 1 Inc CurrentSince Jul 29, 2023 Accepting new patients
Mi Pacs 2 PC CurrentSince Jul 23, 2023 Accepting new patients
Illinois Post-Acute Medical Services 1 PC CurrentSince Apr 1, 2022 Accepting new patients
University of Louisville Physicians, Inc. CurrentSince Mar 27, 2018 Accepting new patients
NV Pacs 2 LLC CurrentSince Oct 8, 2021 Accepting new patients
Kentucky Post-Acute Medical Services 1 PSC CurrentSince Dec 1, 2020 Accepting new patients
CS Pacs 3 Southwest, LLC CurrentSince Sep 29, 2025 Accepting new patients
Michigan Post-Acute Medical Services 1 PC CurrentSince Jul 23, 2023 Accepting new patients
Acute Behavioral Health Services, P.C. Psychiatry CurrentSince Sep 1, 2025 Accepting new patients
University of Louisville Physicians, Inc. CurrentSince Mar 27, 2018 Accepting new patients
CS Pacs 3 Midwest LLC CurrentSince Aug 1, 2024 Accepting new patients
Brighter Day Health LLC Past Accepting new patients
Brighter Day Health, LLC Past Accepting new patients

Locations (25 of 39)

1643 NW 136th Ave
Ste 100
Sunrise, FL 33323
Phone (865) 500-1325

7752 Solution Ctr
Chicago, IL 60677

833 Park East Blvd
Lafayette, IN 47905
Phone (765) 441-3168

3733 Rome Dr
Lafayette, IN 47905
Phone (765) 446-9394

1 Silvercrest Dr
New Albany, IN 47150
Phone (812) 399-3970

723 Burkesville Rd
Albany, KY 42602
Phone (606) 387-6421

55 Foundation Dr
Flemingsburg, KY 41041
Phone (606) 849-2351

1505 S Dixie St
Horse Cave, KY 42749
Phone (270) 786-2200

571 S Floyd St
Louisville, KY 40202
Phone (502) 561-2700

1120 Cristland Rd
Louisville, KY 40214
Phone (502) 367-0101

2141 Sycamore Ave
Louisville, KY 40206
Phone (502) 425-0331

920 S 4th St
Louisville, KY 40203
Phone (502) 254-4200

7504 Westport Rd
Louisville, KY 40222
Phone (502) 693-2681

4121 Shelbyville Rd
Ste 3
Louisville, KY 40207
Phone (502) 899-9980

2100 Cherokee Ridge Way
Louisville, KY 40205
Phone (502) 451-0990

2120 Payne St
Louisville, KY 40206
Phone (502) 552-8597

200 Abraham Flexner Way
Louisville, KY 40202
Phone (502) 569-7983

1550 Raydale Dr
Louisville, KY 40219
Phone (502) 968-6600

6830 Overlook Dr
Louisville, KY 40241
Phone (502) 262-7929

1155 Eastern Pkwy
Louisville, KY 40217
Phone (502) 636-5241

3701 Frankfort Ave
Louisville, KY 40207
Phone (502) 259-9627

7400 Friendship Dr
Pewee Valley, KY 40056
Phone (502) 241-8821

22600 W Main St
Armada, MI 48005
Phone (734) 508-4569

12200 Broadbent Rd
Lansing, MI 48917
Phone (517) 731-6200

555 Highland Ave
Milford, MI 48381
Phone (248) 684-1564

Organizations & group practices 15

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.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1116806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772668800000",
    "number": "1063415099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4121 SHELBYVILLE RD STE 3",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402073205",
            "telephone_number": "502-899-9980",
            "fax_number": "502-899-9981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4003 KRESGE WAY",
            "address_2": "STE 224",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402074652",
            "telephone_number": "502-899-9980",
            "fax_number": "502-899-9981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PELLEGRINI",
        "first_name": "ADRIAN",
        "middle_name": "J",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-05-23",
        "last_updated": "2026-03-05",
        "certification_date": "2026-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "KY",
            "license": "25430",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "V6511",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64254303",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.