Individual provider Active NPI

Peter A Esch, M.D.

  • Internal Medicine Physician
  • Louisville, KY
National Provider Identifier
1073570958
Registry record updated Nov 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
45561 Issued in KY
Practice address
215 Central Ave Ste 100
Jencare Neighborhood Medical Valley Station, LLC
Louisville, KY 40208-1450
Phone
(502) 588-8720
Fax
(502) 588-8721
NPI assigned
Apr 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2016

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 35040680E OH
Geriatric Medicine (Internal Medicine) Physician 207RG0300X 45561 KY
Geriatric Medicine (Internal Medicine) Physician 207RG0300X 40680 OH
Internal Medicine Physician 207R00000X 45561 KY Primary

Addresses

Primary practice location

215 Central Ave Ste 100
Jencare Neighborhood Medical Valley Station, LLC
Louisville, KY 40208-1450

Mailing address

PO Box 909
Jencare Neighborhood Medical Valley Station, LLC
Louisville, KY 40201-0909
Phone (502) 588-0329

Other identifiers 1

IdentifierTypeStateIssuer
0351588MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, KY2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20060721000064 OH Practitioner - Internal Medicine 4486667284 Reassigns benefits to 1 organization
I20130304000459 KY Practitioner - Internal MedicinePractitioner - Geriatric Medicine 4486667284 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35040680EOHMDInternal Medicine Physician
40680OHMDGeriatric Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Cleveland Clinic Foundation CurrentSince Jul 1, 1998 Accepting new patients
University of Louisville Physicians, Inc. CurrentSince Jan 31, 2017 Accepting new patients
University of Louisville Physicians, Inc. CurrentSince Jan 31, 2017 Accepting new patients
University of Louisville Physicians, Inc. Internal Medicine Current Accepting new patients

Locations

7752 Solution Ctr
Chicago, IL 60677

215 Central Ave
Ste 100
Louisville, KY 40208
Phone (502) 588-8720

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

551 Washington St
Chagrin Falls, OH 44022
Phone (440) 893-9393

9500 Euclid Ave
Cleveland, OH 44195
Phone (216) 442-1270

6801 Brecksville Rd
Ste 20
Seven Hills, OH 44131
Phone (216) 445-3363

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1146009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479427200000",
    "number": "1073570958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 909",
            "address_2": "JENCARE NEIGHBORHOOD MEDICAL VALLEY STATION, LLC",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402010909",
            "telephone_number": "502-588-0329",
            "fax_number": "502-588-0326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 CENTRAL AVE STE 100",
            "address_2": "JENCARE NEIGHBORHOOD MEDICAL VALLEY STATION, LLC",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402081450",
            "telephone_number": "502-588-8720",
            "fax_number": "502-588-8721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESCH",
        "first_name": "PETER",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-26",
        "last_updated": "2016-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35040680E",
            "primary": false
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "KY",
            "license": "45561",
            "primary": false
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "OH",
            "license": "40680",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KY",
            "license": "45561",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0351588",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.