Active NPI
Megan Amelia Anciano, PA
- Physician Assistant
- Louisville, KY
National Provider Identifier
1083580237
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA3710
- Practice address
- 200 E Chestnut St
Louisville, KY 40202-1831 - Phone
- (866) 759-4524
- NPI assigned
- Oct 15, 2025
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA3710 | KY | Primary |
| Vascular & Interventional Radiology Physician | 2085R0204X | PA3710 | KY |
Addresses
Primary practice location
200 E Chestnut St
Louisville, KY 40202-1831
Mailing address
6807 Tottenham Rd
Louisville, KY 40207-2447
Phone (434) 882-8891
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: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260209003899 | KY | Practitioner - Physician Assistant | 8123507225 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2025
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Diagnostic Imaging Alliance of Louisville PSC
Practice addresses (Care Compare)
200 E Chestnut St
Louisville, KY 40202-1831
Phone (502) 629-7601
Hospital & facility affiliations
- Norton Hospitals, Inc
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA3710 | KY | MD | Vascular & Interventional Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Diagnostic Imaging Alliance of Louisville PSC | Physician Assistant | Current | Accepting new patients |
Locations
315 E Broadway
Louisville, KY 40202
Phone (502) 272-5331
200 E Chestnut St
Louisville, KY 40202
Phone (502) 446-8000
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 and National Provider Directory roles.
-
- Diagnostic Radiology Physician
- Louisville, KY
- NPI 1396765509
KY, Physician Assistant
Hospital & facility affiliations 14
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": "1760486400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1769644800000",
"number": "1083580237",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6807 TOTTENHAM RD",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402072447",
"telephone_number": "434-882-8891"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 E CHESTNUT ST",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402021831",
"telephone_number": "866-759-4524"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANCIANO",
"first_name": "MEGAN",
"middle_name": "AMELIA",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-10-15",
"last_updated": "2026-01-29",
"certification_date": "2026-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "KY",
"license": "PA3710",
"primary": true
},
{
"code": "2085R0204X",
"taxonomy_group": "",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": "KY",
"license": "PA3710",
"primary": false
}
],
"identifiers": [],
"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 Jan 29, 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.