NPIMap

Individual provider Active NPI

Lina Mackelaite, M.D.

  • Nephrology Physician
  • Louisville, KY
National Provider Identifier
1063661445
Registry record updated Aug 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
43697 Issued in KY
Practice address
615 S Preston St
Louisville, KY 40202-1715
Phone
(502) 852-5757
Fax
(502) 589-5093
NPI assigned
Sep 10, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 29, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MT183311 PA
Nephrology Physician 207RN0300X 43697 KY Primary

Addresses

Primary practice location

615 S Preston St
Louisville, KY 40202-1715

Mailing address

PO Box 909
Louisville, KY 40201-0909
Phone (502) 852-5757

Other identifiers 1

IdentifierTypeStateIssuer
7100134410MedicaidKY

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
I20101116001033 KY Practitioner - NephrologyPractitioner - Internal Medicine 9032304027 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
University of Louisville Physicians IncGroup PAC ID 3476725599, 1,438 clinicians

Practice addresses (Care Compare)

1200 Barret Blvd
Henderson, KY 42420-4950
Phone (502) 587-4358

1834 Lyda Ave
Bowling Green, KY 42104-3361
Phone (502) 587-4358

1850 Bluegrass Ave
Louisville, KY 40215-1161
Phone (502) 367-3360

220 Abraham Flexner Way
Louisville, KY 40202-3826

401 E Chestnut St
Louisville, KY 40202-5700

571 S Floyd St
Louisville, KY 40202-3818
Phone (502) 629-2398

Hospital & facility affiliations

  • UOFL HEALTH - JEWISH HOSPITAL and Mary & Elizabeth Hospital Hospital, Louisville, KY, CCN 180040
  • University of Louisville Hospital Hospital, Louisville, KY, CCN 180141
  • Deaconess Hospital Inc Hospital, Evansville, IN, CCN 150082
  • Owensboro Health Regional Hospital Hospital, Owensboro, KY, CCN 180038
  • Baptist Health Hardin Hospital, Elizabethtown, KY, CCN 180012

Merit-based Incentive Payment System (MIPS)

Final score
78.96 of 100Reported as group
Quality
56.12
Promoting interoperability
100
Improvement activities
40
Cost
73.73

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MT183311PAMDInternal Medicine Physician
43697KYMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Louisville Physicians, Inc. CurrentSince Jul 1, 2012 Accepting new patients
University of Louisville Physicians, Inc. CurrentSince Jul 1, 2012 Accepting new patients
University of Louisville Physicians, Inc. Internal Medicine Current Accepting new patients
University of Louisville Research Foundation Past Accepting new patients
University of Louisville Physicians, Inc. Past Accepting new patients

Locations

7752 Solution Ctr
Chicago, IL 60677

201 Abraham Flexner Way
Ste 1001
Louisville, KY 40202
Phone (502) 589-6788

615 S Preston St
Louisville, KY 40202
Phone (502) 852-5757

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

401 E Chestnut St
Unit 690
Louisville, KY 40202
Phone (502) 588-4710

Interoperability endpoints

  • Direct secure messaging: lmackelaite13826@uoflhealth-dm.org

Organizations & group practices 5

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.

Hospital & facility affiliations 27

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

View all 27

NPI Registry JSON

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

{
    "created_epoch": "1221004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346198400000",
    "number": "1063661445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 909",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402010909",
            "telephone_number": "502-852-5757",
            "fax_number": "502-852-7643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 S PRESTON ST",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402021715",
            "telephone_number": "502-852-5757",
            "fax_number": "502-589-5093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACKELAITE",
        "first_name": "LINA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-09-10",
        "last_updated": "2012-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MT183311",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "KY",
            "license": "43697",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100134410",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.