Individual provider Active NPI

Alessandro Cancelliere, M.D.

  • Emergency Medicine Physician
  • Louisville, KY
National Provider Identifier
1073888236
Registry record updated Feb 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
57391 Issued in KY
Practice address
1 Audubon Plaza Dr
Louisville, KY 40217-1318
Phone
(502) 636-7225
Fax
(502) 636-8032
NPI assigned
Mar 20, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 261686 MA
Emergency Medicine Physician 207P00000X 57391 KY Primary

Addresses

Primary practice location

1 Audubon Plaza Dr
Louisville, KY 40217-1318

Mailing address

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

Other practice location 1

55 Lake Ave N
Department of Emergency Medicine
Worcester, MA 01655-0002
Phone (508) 421-1400

Other identifiers 1

IdentifierTypeStateIssuer
110102618AMedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, 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
I20150807013329 MA Practitioner - Emergency Medicine 3678887460 Reassigns benefits to 7 organizations
I20240408000115 KY Practitioner - Emergency Medicine 3678887460 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of Cincinnati College of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Newburyport Emergency Physicians, PLLCGroup PAC ID 4688193071, 55 clinicians
Lahey Clinic IncGroup PAC ID 2264336528, shared by 3 NPIs, 1,381 clinicians
Emergency Medicine Services of Ky LLCGroup PAC ID 9335505569, 42 clinicians

Practice addresses (Care Compare)

25 Highland Ave
Newburyport, MA 01950-3867
Phone (978) 463-1000

29 Mall Rd
Burlington, MA 01805-0001

299 Kings Daughters Dr
Frankfort, KY 40601-6514
Phone (502) 875-5240

41 Mall Rd
Burlington, MA 01805-0001

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
57391KYMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Beth Israel Lahey Health Primary Care, Inc. CurrentSince Feb 18, 2019 Accepting new patients
Southeastern Emergency Physicians LLC Emergency Medicine CurrentSince Mar 1, 2026 Accepting new patients
Oldham County Emergency Physicians, LLC Emergency Medicine CurrentSince Feb 15, 2026 Accepting new patients
Community Medical Associates, Inc. Emergency Medicine CurrentSince May 1, 2025 Accepting new patients
Beth Israel Lahey Health Primary Care Inc CurrentSince Feb 18, 2019 Accepting new patients
Emergency Medicine Services of Ky, LLC Emergency Medicine CurrentSince Apr 1, 2024 Accepting new patients
Lahey Clinic, Inc CurrentSince Feb 6, 2017 Accepting new patients
Internal Medical Associates-Ebnhc CurrentSince Nov 1, 2018 Accepting new patients
Beth Israel Lahey Health Specialty Care, Inc. CurrentSince Mar 29, 2019 Accepting new patients
Baptist Health Medical Group, Inc. Emergency Medicine CurrentSince Feb 4, 2026 Accepting new patients
Community Medical Associates, Inc. Current Accepting new patients
Lahey Clinic, Inc. CurrentSince Feb 6, 2017 Accepting new patients
Community Medical Associates, Inc. CurrentSince May 1, 2025 Accepting new patients
Newburyport Emergency Physicians, PLLC Emergency Medicine CurrentSince Apr 30, 2025 Accepting new patients
Baptist Health Medical Group Inc CurrentSince Feb 4, 2026 Accepting new patients
Neighborhealth Corporation CurrentSince Nov 1, 2018 Accepting new patients

Locations

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

1 Trillium Way
Corbin, KY 40701
Phone (606) 523-8521

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

1025 New Moody Ln
Lagrange, KY 40031
Phone (502) 222-3335

1850 Bluegrass Ave
Louisville, KY 40215
Phone (502) 361-6617

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

7702 Bardstown Rd
Louisville, KY 40291
Phone (502) 925-4100

1 Audubon Plaza Dr
Louisville, KY 40217
Phone (502) 634-6767

11701 Bluegrass Pkwy
#100
Louisville, KY 40299
Phone (502) 928-4100

3900 Kresge Way
Ste 41
Louisville, KY 40207
Phone (502) 896-1313

41 Mall Rd
Burlington, MA 01805
Phone (781) 744-8400

480 Maple St
Danvers, MA 01923
Phone (978) 304-8380

10 Grove St
East Boston, MA 02128
Phone (617) 569-5800

25 Highland Ave
Newburyport, MA 01950
Phone (978) 258-4734

15 Railroad Ave
South Hamilton, MA 01982
Phone (978) 468-7381

1 Parkland Dr
Derry, NH 03038
Phone (603) 421-2220

333 Bothwick Ave
Portsmouth, NH 03801
Phone (603) 433-4907

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/10729/brand/1/csg/1/fhir/r4
  • Direct secure messaging: acancelliere84856@direct.bilh.masshiway.net

Organizations & group practices 16

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 16

Hospital & facility affiliations 4

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

NPI Registry JSON

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

{
    "created_epoch": "1332201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770163200000",
    "number": "1073888236",
    "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": "1 AUDUBON PLAZA DR",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402171318",
            "telephone_number": "502-636-7225",
            "fax_number": "502-636-8032"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "55 Lake Ave N",
            "address_2": "Department of Emergency Medicine",
            "address_purpose": "LOCATION",
            "city": "Worcester",
            "state": "MA",
            "postal_code": "016550002",
            "country_code": "US",
            "telephone_number": "508-421-1400",
            "fax_number": "508-421-1490",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CANCELLIERE",
        "first_name": "ALESSANDRO",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-03-20",
        "last_updated": "2026-02-04",
        "certification_date": "2026-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MA",
            "license": "261686",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "KY",
            "license": "57391",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110102618A",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.