Active NPI
Alessandro Cancelliere, M.D.
- Emergency Medicine Physician
- Louisville, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 57391
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110102618A | Medicaid | MA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA, KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
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
- Lahey Clinic Inc
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
- Lahey Hospital & Medical Center, Burlington
- Frankfort Regional Medical Center
- Anna Jaques Hospital
- Tristar Greenview Regional Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of nail tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 57391 | KY | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Beth Israel Lahey Health Primary Care, Inc. | Current | Accepting new patients | |
| Southeastern Emergency Physicians LLC | Emergency Medicine | Current | Accepting new patients |
| Oldham County Emergency Physicians, LLC | Emergency Medicine | Current | Accepting new patients |
| Community Medical Associates, Inc. | Emergency Medicine | Current | Accepting new patients |
| Beth Israel Lahey Health Primary Care Inc | Current | Accepting new patients | |
| Emergency Medicine Services of Ky, LLC | Emergency Medicine | Current | Accepting new patients |
| Lahey Clinic, Inc | Current | Accepting new patients | |
| Internal Medical Associates-Ebnhc | Current | Accepting new patients | |
| Beth Israel Lahey Health Specialty Care, Inc. | Current | Accepting new patients | |
| Baptist Health Medical Group, Inc. | Emergency Medicine | Current | Accepting new patients |
| Community Medical Associates, Inc. | Current | Accepting new patients | |
| Lahey Clinic, Inc. | Current | Accepting new patients | |
| Community Medical Associates, Inc. | Current | Accepting new patients | |
| Newburyport Emergency Physicians, PLLC | Emergency Medicine | Current | Accepting new patients |
| Baptist Health Medical Group Inc | Current | Accepting new patients | |
| Neighborhealth Corporation | Current | 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
- https://api.platform.athenahealth.com/10729/brand/1/csg/1/fhir/r4
- 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.
-
- Emergency Medicine Physician
- Bowling Green, KY
- NPI 1033816194
-
- Emergency Medicine Physician
- Newburyport, MA
- NPI 1215724364
-
- Rural Health Clinic/Center
- Dawson Springs, KY
- NPI 1982178216
-
- Multi-Specialty Clinic/Center
- Louisville, KY
- NPI 1306983762
-
- Emergency Medicine Physician
- La Grange, KY
- NPI 1508726035
-
- Emergency Medicine Physician
- Maysville, KY
- NPI 1356379382
-
- Clinic/Center
- Middleboro, MA
- NPI 1568292423
-
- Internal Medicine Physician
- Gloucester, MA
- NPI 1235147760
-
- Community Health Clinic/Center
- East Boston, MA
- NPI 1558481879
-
- Internal Medicine Physician
- Peabody, MA
- NPI 1063447316
-
- Internal Medicine Physician
- Burlington, MA
- NPI 1538194980
-
- Community Health Clinic/Center
- East Boston, MA
- NPI 1316994411
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Frankfort, KY
- NPI 1427095488
-
- General Acute Care Hospital
- Bowling Green, KY
- NPI 1871547703
-
- General Acute Care Hospital
- Newburyport, MA
- NPI 1992779482
-
- General Acute Care Hospital
- Burlington, MA
- NPI 1558392563
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2026; 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.
- 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.