Individual provider Active NPI

Becky S Carothers, MD

  • Pediatrics Physician
  • Louisville, KY
National Provider Identifier
1083617062
Registry record updated Oct 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
38119 Issued in KY
Practice address
230 East Broadway
Louisville, KY 40202-3822
Phone
(502) 588-3440
Fax
(502) 588-3441
NPI assigned
May 24, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 38119 KY Primary

Addresses

Primary practice location

230 East Broadway
Louisville, KY 40202-3822

Mailing address

PO Box 950202
Louisville, KY 40295-0202
Phone (502) 272-5067

Other identifiers 1

IdentifierTypeStateIssuer
6406663200MedicaidKY

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110608000460 KY Practitioner - Pediatric Medicine 8729265335 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
38119KYMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Norton Childrens Medical Group, LLC Pediatrics CurrentSince Mar 1, 2020 Accepting new patients
Community Medical Associates, Inc. CurrentSince Oct 30, 2011 Accepting new patients
Community Medical Associates, Inc. Current Accepting new patients
Norton Children'S Medical Group, LLC Current Accepting new patients
Norton Children'S Medical Group, LLC CurrentSince Mar 1, 2020 Accepting new patients
Community Medical Associates, Inc. Pediatrics CurrentSince Oct 30, 2011 Accepting new patients
Norton Children'S Medical Group, LLC Pediatrics Past Accepting new patients

Locations

571 S Floyd St
Louisville, KY 40202
Phone (502) 561-2700

231 E Chestnut St
Louisville, KY 40202
Phone (502) 852-8500

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

230 E Broadway
Louisville, KY 40202
Phone (502) 629-8901

601 S Floyd St
Ste 604
Louisville, KY 40202
Phone (502) 559-1670

4420 Dixie Hwy
Ste 126
Louisville, KY 40216
Phone (502) 810-3780

9217 US Highway 42
Ste G
Prospect, KY 40059

Interoperability endpoints

  • Direct secure messaging: bcarothers6064@direct.nortonhealthcare.org

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1116892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540512000000",
    "number": "1083617062",
    "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": "502-272-5067",
            "fax_number": "502-272-5339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 EAST BROADWAY",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402023822",
            "telephone_number": "502-588-3440",
            "fax_number": "502-588-3441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAROTHERS",
        "first_name": "BECKY",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-05-24",
        "last_updated": "2018-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "KY",
            "license": "38119",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6406663200",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.