Active NPI
Sean Warren, M.D.
- Family Medicine Physician
- Louisville, KY
National Provider Identifier
1063808137
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 51617
- Practice address
- 215 Central Ave Ste 100
Louisville, KY 40208 - Phone
- (502) 588-8720
- Fax
- (502) 588-8721
- NPI assigned
- Apr 15, 2015
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | TP690 | KY | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Family Medicine Physician | 207Q00000X | 51617 | KY | Primary |
Addresses
Primary practice location
215 Central Ave Ste 100
Louisville, KY 40208
Mailing address
2700 Stanley Gault Pkwy Ste 129
Louisville, KY 40223-5176
Phone (502) 253-4900
Other practice location 1
6041 Timber Ridge Dr
Prospect, KY 40059-8134
Phone (502) 928-0910
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100429320 | Medicaid | KY |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | swarren89060@bhkydirect.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Apr 1, 2025 through Apr 1, 2027
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 94.29 of 100
- Quality
- 87.32
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 51617 | KY | MD | Family Medicine Physician |
| TP690 | KY | MD | Hospitalist Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lima Memorial Joint Operating Company | 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 Lima Memorial Health System
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1429056000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1607558400000",
"number": "1063808137",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2700 STANLEY GAULT PKWY STE 129",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402235176",
"telephone_number": "502-253-4900",
"fax_number": "502-489-5751"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "215 CENTRAL AVE STE 100",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "40208",
"telephone_number": "502-588-8720",
"fax_number": "502-588-8721"
}
],
"practiceLocations": [
{
"address_1": "6041 Timber Ridge Dr",
"address_purpose": "LOCATION",
"city": "Prospect",
"state": "KY",
"postal_code": "400598134",
"country_code": "US",
"telephone_number": "502-928-0910",
"fax_number": "502-928-0911",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WARREN",
"first_name": "SEAN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-04-15",
"last_updated": "2020-12-10",
"certification_date": "2020-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "KY",
"license": "TP690",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "KY",
"license": "51617",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100429320",
"state": "KY"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "swarren89060@bhkydirect.com",
"affiliation": "N",
"address_1": "6041 Timber Ridge Dr",
"city": "Prospect",
"state": "KY",
"country_code": "US",
"postal_code": "400598134",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.