NPIMap

Individual provider Active NPI

Charles E Hornaday Jr., MD

  • Internal Medicine Physician
  • Louisville, KY
National Provider Identifier
1083628705
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
22650 Issued in KY
Practice address
4000 Kresge Way
Ste 100
Louisville, KY 40207
Phone
(508) 897-1121
Fax
(502) 897-1189
NPI assigned
Jul 28, 2006
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 22650 KY Primary

Addresses

Primary practice location

4000 Kresge Way
Ste 100
Louisville, KY 40207

Mailing address

4000 Kresge Way
Ste 100
Louisville, KY 40207
Phone (508) 897-1121

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100308000551 KY Practitioner - Internal Medicine 3173668696 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Vanderbilt University School of Medicine, 1980
Medicare assignment
May accept Medicare assignment
Group practices
DRS Hornaday, Costel, and Bryant, PLLCGroup PAC ID 4688604010, 3 clinicians

Practice addresses (Care Compare)

4002 Kresge Way
Suite 100
Louisville, KY 40207-4664
Phone (502) 897-1121

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
22650KYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
DRS Hornaday, Costel, & Bryant, PLLC Internal Medicine CurrentSince Nov 14, 1998 Accepting new patients

Locations

4002 Kresge Way
Ste 100
Louisville, KY 40207
Phone (502) 897-1121

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 19

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

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1083628705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 KRESGE WAY",
            "address_2": "STE 100",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "40207",
            "telephone_number": "508-897-1121",
            "fax_number": "502-897-1189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 KRESGE WAY",
            "address_2": "STE 100",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "40207",
            "telephone_number": "508-897-1121",
            "fax_number": "502-897-1189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HORNADAY",
        "first_name": "CHARLES",
        "middle_name": "E",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-28",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KY",
            "license": "22650",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.