Active NPI
Tomasz Kobylanski, MD
- Internal Medicine Physician
- Louisville, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 37572
- Practice address
- 8019 Dixie Hwy Ste 101
Louisville, KY 40258-1303 - Phone
- (502) 333-3121
- Fax
- (502) 531-9538
- NPI assigned
- Jul 14, 2006
- Last updated
- Jun 1, 2023
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 01058945A | IN | |
| Internal Medicine Physician | 207R00000X | 37572 | KY | Primary |
Addresses
Primary practice location
8019 Dixie Hwy Ste 101
Louisville, KY 40258-1303
Mailing address
8019 Dixie Hwy Ste 101
Louisville, KY 40258-1303
Phone (502) 333-3121
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100180890G | Medicaid | IN | |
| 200400730 | Medicaid | IN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| PMR Ky Holding, LLC | Current | Accepting new patients |
Locations
2406 W Broadway
Louisville, KY 40211
Phone (502) 775-1211
3939 7th Street Rd
Louisville, KY 40216
Phone (502) 775-1211
8019 Dixie Hwy
Ste 101
Louisville, KY 40258
Phone (502) 333-3121
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152835200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1685577600000",
"number": "1073539847",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8019 DIXIE HWY STE 101",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402581303",
"telephone_number": "502-333-3121",
"fax_number": "502-531-9538"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8019 DIXIE HWY STE 101",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402581303",
"telephone_number": "502-333-3121",
"fax_number": "502-531-9538"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOBYLANSKI",
"first_name": "TOMASZ",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-14",
"last_updated": "2023-06-01",
"certification_date": "2023-06-01",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IN",
"license": "01058945A",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "KY",
"license": "37572",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100180890G",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200400730",
"state": "IN"
}
],
"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 Jun 1, 2023; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.