Active NPI
Michael Carl Hess, M.D.
- Family Medicine Physician
- Louisville, KY
National Provider Identifier
1083615207
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128b(4) exclusion effective Dec 20, 2009.
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 19773
- Practice address
- 5334 S 3Rd St
Southend Medical Center
Louisville, KY 40214-2612 - Phone
- (502) 367-2288
- Fax
- (502) 367-0108
- NPI assigned
- Aug 10, 2005
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 19773 | KY | Primary |
Addresses
Primary practice location
5334 S 3Rd St
Southend Medical Center
Louisville, KY 40214-2612
Mailing address
PO Box 950202
Louisville, KY 40295-0202
Phone (502) 969-6552
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00298562 | Other | KY | RR MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19773 | KY | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123632000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1209427200000",
"number": "1083615207",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 950202",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402950202",
"telephone_number": "502-969-6552",
"fax_number": "502-969-3799"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5334 S 3RD ST",
"address_2": "SOUTHEND MEDICAL CENTER",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402142612",
"telephone_number": "502-367-2288",
"fax_number": "502-367-0108"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HESS",
"first_name": "MICHAEL",
"middle_name": "CARL",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-10",
"last_updated": "2008-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "KY",
"license": "19773",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P00298562",
"state": "KY"
}
],
"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 Apr 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.