Active NPI
Mark Newstadt, MD
- Pediatrics Physician
- Louisville, KY
National Provider Identifier
1083653331
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 64274244
- Practice address
- 3333 Bardstown Rd
Louisville, KY 40218 - Phone
- (502) 452-6337
- Fax
- (502) 458-5327
- NPI assigned
- Jun 5, 2006
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 64274244 | KY | Primary |
Addresses
Primary practice location
3333 Bardstown Rd
Louisville, KY 40218
Mailing address
3333 Bardstown Rd
Louisville, KY 40218
Phone (502) 452-6337
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 64274244 | Medicaid | KY |
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 64274244 | KY | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kaplan Barron Pediatrics PLLC | Pediatrics | Past | Accepting new patients |
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.
-
- Pediatrics Physician
- Louisville, KY
- NPI 1699396507
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149465600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1395360000000",
"number": "1083653331",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3333 BARDSTOWN RD",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "40218",
"telephone_number": "502-452-6337",
"fax_number": "502-458-5327"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3333 BARDSTOWN RD",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "40218",
"telephone_number": "502-452-6337",
"fax_number": "502-458-5327"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEWSTADT",
"first_name": "MARK",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-05",
"last_updated": "2014-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "KY",
"license": "64274244",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "64274244",
"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 Mar 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.