Individual provider Active NPI

Mansoor I. Tiwana, M.D.

  • Nephrology Physician
  • Louisville, KY
National Provider Identifier
1073718466
Registry record updated Jul 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
44189 Issued in KY
Practice address
200 E Chestnut St BLDG Suite303
Louisville, KY 40202
Phone
(502) 629-5552
NPI assigned
Jun 18, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2022

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 01072444A IN
Internal Medicine Physician 207R00000X MD432054 PA
Internal Medicine Physician 207R00000X 44189 KY
Hospitalist Physician 208M00000X MD432054 PA
Nephrology Physician 207RN0300X 44189 KY Primary

Addresses

Primary practice location

200 E Chestnut St BLDG Suite303
Louisville, KY 40202

Mailing address

PO Box 776351
Chicago, IL 60677-6351
Phone (502) 588-9490

Other practice location 1

234 E Gray St
Suite 858
Louisville, KY 40202-1900
Phone (502) 583-1799

Other identifiers 13

IdentifierTypeStateIssuer
1747437OtherPAAETNA
1973534OtherPAHIGHMARK BLUE SHIELD
1019486730001MedicaidPA
34935,34936,34937OtherPAHEALTH PARTNERS
1019486730003MedicaidPA
44189OtherKYKY LICENSE
2852822000OtherPAPERSONAL CHOICE
2852822000OtherPAKEYSTONE IBC
000000609439OtherKYANTHEM
30043623OtherPAKEYSTONE MERCY
7100177580MedicaidKY
01072444AOtherININDIANA LICENSE
1019486730002MedicaidPA

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address mtiwana46222@direct.nortonhealthcare.org
FHIR URL https://epicsoap.nortonhealthcare.org/FHIRPRD/api/FHIR/DSTU2/

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, KY, IN, TN, WI, GA6 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 6

Enrollment IDStateProvider typePAC IDDetails
I20070730000829 PA Practitioner - Internal Medicine 2567563877 Reassigns benefits to 1 organization
I20130709000715 KY Practitioner - Internal Medicine 2567563877 Reassigns benefits to 5 organizations
I20130912000247 IN Practitioner - NephrologyPractitioner - Internal Medicine 2567563877 Reassigns benefits to 3 organizations
I20240301000010 TN Practitioner - NephrologyPractitioner - Infectious Disease 2567563877 Reassigns benefits to 1 organization
I20251117000077 WI Practitioner - Nephrology 2567563877 Reassigns benefits to 2 organizations
I20260422002416 GA Practitioner - Nephrology 2567563877 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Community Medical Associates IncGroup PAC ID 7012811284, shared by 2 NPIs, 1,368 clinicians
T J Samson Community HospitalGroup PAC ID 0648182600, 197 clinicians
Suburban Medical Group LLCGroup PAC ID 6204145642, 29 clinicians
Nephrology Associates of Kentuckiana PSCGroup PAC ID 4183522618, 38 clinicians

Practice addresses (Care Compare)

1373 E State Rd
Madison, IN 47250-7328
Phone (812) 801-0152

310 N L Rogers Wells Blvd
Glasgow, KY 42141-1300
Phone (270) 651-1111

520 S 7TH St
Vincennes, IN 47591-1038
Phone (812) 885-3280

5735 Ridge Ave
Suite 106
Philadelphia, PA 19128-1746
Phone (215) 487-1887

6400 Dutchmans Pkwy
Suite 250
Louisville, KY 40205-3354
Phone (502) 587-9660

825 Barret Ave
Louisville, KY 40204-1743
Phone (502) 272-5165

911 N Shelby St
St Vincent Hospital
Salem, IN 47167-2304
Phone (812) 883-5881

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01072444AINMDInternal Medicine Physician
44189KYMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Knoxville Kidney Center, PLLC Nephrology CurrentSince Mar 1, 2025 Accepting new patients
Samuel Mahelona Memorial Hospital CurrentSince Aug 1, 2023 Accepting new patients
Cogent Healthcare of Kentucky, PSC Internal Medicine CurrentSince Jul 29, 2019 Accepting new patients
Hospitalist Medicine Physicians of Indiana, LLC Internal Medicine CurrentSince Jan 1, 2022 Accepting new patients
Community Medical Associates, Inc. Internal Medicine CurrentSince Apr 1, 2019 Accepting new patients
Suburban Medical Group LLC Internal Medicine CurrentSince May 1, 2025 Accepting new patients
Kauai Veterans Memorial Hospital Current Accepting new patients
Community Medical Associates, Inc. Internal Medicine CurrentSince Apr 1, 2019 Accepting new patients
Nephrology Associates of Kentuckiana PSC Nephrology CurrentSince Jun 21, 2022 Accepting new patients
Baldwin Area Medical Center Inc. CurrentSince Nov 1, 2025 Accepting new patients
T J Samson Community Hospital CurrentSince Nov 11, 2024 Accepting new patients
Community Medical Associates, Inc. Current Accepting new patients
Rhea Medical Center Hospitalist CurrentSince Jan 13, 2024 Accepting new patients
Kauai Veterans Memorial Hospital CurrentSince Aug 1, 2023 Accepting new patients
Baldwin Area Medical Center, Inc. CurrentSince Nov 1, 2025 Accepting new patients
Samuel Mahelona Memorial Hospital CurrentSince Aug 1, 2023 Accepting new patients
Samuel Mahelona Memorial Hospital Current Accepting new patients
Hospital Medicine Services of Ky, LLC Hospitalist CurrentSince Apr 1, 2023 Accepting new patients
Norton Hospitals, Inc Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Health Access Network Past Accepting new patients
Seton Family of Doctors Internal Medicine Past Accepting new patients
Bluegrass Kidney Consultants PSC Nephrology Past Accepting new patients

Locations

313 Federal Dr NW
Ste 10
Corydon, IN 47112
Phone (502) 937-2209

1373 N State Road 62
Madison, IN 47250
Phone (812) 801-0196

1919 State St
Ste 444
New Albany, IN 47150
Phone (502) 368-9590

911 N Shelby St
Salem, IN 47167
Phone (812) 883-5881

520 S 7th St
Vincennes, IN 47591
Phone (812) 885-3280

4305 New Shepherdsville Rd
Bardstown, KY 40004
Phone (502) 350-5000

1801 Ashley Cir
Bowling Green, KY 42104
Phone (270) 781-4330

1301 N Race St
Glasgow, KY 42141
Phone (270) 651-4141

310 N L Rogers Wells Blvd
Glasgow, KY 42141
Phone (270) 651-1111

299 Kings Daughters Dr
Hatton, KY 40601
Phone (502) 875-5240

1 Saint Joseph Dr
Lexington, KY 40504
Phone (502) 350-5000

150 N Eagle Creek Dr
Lexington, KY 40509
Phone (859) 267-9773

1001 Saint Joseph Ln
London, KY 40741
Phone (606) 330-6000

200 E Chestnut St
Ste 303
Louisville, KY 40202
Phone (502) 629-5552

825 Barret Ave
Louisville, KY 40204
Phone (502) 272-5165

200 E Chestnut St
Louisville, KY 40202
Phone (502) 446-8000

6400 Dutchmans Pkwy
Ste 250
Louisville, KY 40205
Phone 5025879660239

4000 Kresge Way
St Matthews, KY 40207
Phone (502) 459-7902

501 Bath Rd
Bristol, PA 19007
Phone (215) 785-9200

2701 DeKalb Pike
Fl 2
East Norriton, PA 19401
Phone (610) 275-1028

5735 Ridge Ave
Ste 106
Philadelphia, PA 19128
Phone (215) 482-2412

9400 Rhea County Hwy
Dayton, TN 37321
Phone (423) 285-5220

320 N Park 40 Blvd
#A
Knoxville, TN 37923
Phone (865) 692-3462

1100 Bergslien St
Baldwin, WI 54002
Phone (715) 684-1111

Networks

  • HI PPO
  • devoted network organization-c89d4c14-e90f-4cf7-83f9-456527a52335

Interoperability endpoints

  • Direct secure messaging: mtiwana41869@direct.acumenmd.com
  • Direct secure messaging: mtiwana46222@direct.nortonhealthcare.org
  • FHIR API: https://fhir4.healow.com/fhir/r4/CGGBBA
  • Direct secure messaging: mansoor.tiwana.1@8363.direct.athenahealth.com

Organizations & group practices 26

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 26

Hospital & facility affiliations 19

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

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1182124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658966400000",
    "number": "1073718466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 776351",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606776351",
            "telephone_number": "502-588-9490",
            "fax_number": "502-272-5116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 E CHESTNUT ST BLDG SUITE303",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "40202",
            "telephone_number": "502-629-5552"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "234 E Gray St",
            "address_2": "Suite 858",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402021900",
            "country_code": "US",
            "telephone_number": "502-583-1799",
            "fax_number": "502-583-1792",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TIWANA",
        "first_name": "MANSOOR",
        "middle_name": "I.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-18",
        "last_updated": "2022-07-28",
        "certification_date": "2022-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IN",
            "license": "01072444A",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD432054",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KY",
            "license": "44189",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "PA",
            "license": "MD432054",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "KY",
            "license": "44189",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "1747437",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "1973534",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1019486730001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PARTNERS",
            "identifier": "34935,34936,34937",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1019486730003",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KY LICENSE",
            "identifier": "44189",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PERSONAL CHOICE",
            "identifier": "2852822000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE IBC",
            "identifier": "2852822000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000609439",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE MERCY",
            "identifier": "30043623",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100177580",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIANA LICENSE",
            "identifier": "01072444A",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1019486730002",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mtiwana46222@direct.nortonhealthcare.org",
            "affiliation": "N",
            "address_1": "200 E Chestnut St Bldg Suite303",
            "city": "Louisville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "40202",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicsoap.nortonhealthcare.org/FHIRPRD/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "200 E Chestnut St Bldg Suite303",
            "city": "Louisville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "40202",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.