Individual provider Active NPI

Destiny Fenger Chau, MD

  • Pediatric Anesthesiology Physician
  • Louisville, KY
National Provider Identifier
1093876419
Registry record updated Jul 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Anesthesiology PhysicianTaxonomy code 207LP3000X
License
E-12574 Issued in AR
Practice address
231 E Chestnut St
Louisville, KY 40202-1821
Phone
(502) 629-6000
Fax
(757) 668-9735
NPI assigned
Dec 12, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 0101254266 VA
Anesthesiology Physician 207L00000X E-12574 AR
Pediatric Anesthesiology Physician 207LP3000X 40254 KY
Pediatric Anesthesiology Physician 207LP3000X E-12574 AR Primary

Addresses

Primary practice location

231 E Chestnut St
Louisville, KY 40202-1821

Mailing address

1 Childrens Way
Little Rock, AR 72202-3500
Phone (501) 364-1100

Other practice location 1

1 Childrens Way
Little Rock, AR 72202
Phone (501) 364-1100

Other practice location 2

4301 W Markham St # 515
Little Rock, AR 72205
Phone (501) 686-6114

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, VA, AR, MS4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20070402000461 KY Practitioner - Anesthesiology 6709980642 Reassigns benefits to 2 organizations
I20130916000177 VA Practitioner - AnesthesiologyPractitioner - Pediatric Medicine 6709980642 Reassigns benefits to 1 organization
I20191213001091 AR Practitioner - Anesthesiology 6709980642 Reassigns benefits to 4 organizations
I20250815002279 MS Practitioner - Anesthesiology 6709980642 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

36 Lancaster St
Lynbrook, NY 11563-1844

PO Box
Suite 11407
Birmingham, AL 35246

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101254266VAMDAnesthesiology Physician
E-12574ARMDPediatric Anesthesiology Physician
40254KYMDPediatric Anesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Arkansas Childrens Hospital CurrentSince Jan 1, 2020 Accepting new patients
Norton Children'S Medical Group, LLC CurrentSince Apr 14, 2025 Accepting new patients
University of Arkansas for Medical Sciences Anesthesiology Current Accepting new patients
State of Mississippi - University of Mississippi Medical Center CurrentSince Jul 18, 2025 Accepting new patients
State of Mississippi - University of Mississippi Medical Center Current Accepting new patients
Norton Children'S Medical Group, LLC CurrentSince Apr 14, 2025 Accepting new patients
State of Mississippi - University of Mississippi Medical Center CurrentSince Jul 18, 2025 Accepting new patients
Arkansas Children'S Hospital CurrentSince Jan 1, 2020 Accepting new patients
Childrens Specialty Group PLLC CurrentSince Aug 1, 2013 Accepting new patients
University of Arkansas for Medical Sciences CurrentSince Jan 1, 2020 Accepting new patients
University of Arkansas for Medical Sciences CurrentSince Jan 1, 2020 Accepting new patients
Arkansas Childrens Professional Services Organization LLC CurrentSince Jul 19, 2025 Accepting new patients
University of Arkansas for Medical Sciences Anesthesiology Current Accepting new patients
University of Arkansas for Medical Sciences CurrentSince Jan 1, 2020 Accepting new patients
Kentucky Medical Services Foundation, Inc Anesthesiology CurrentSince Dec 8, 2006 Accepting new patients

Locations

1 Childrens Way
#664
Little Rock, AR 72202
Phone (501) 364-2505

1 Childrens Way
Little Rock, AR 72202
Phone (501) 364-1874

4301 W Markham St
#515
Little Rock, AR 72205
Phone (501) 603-1656

1 Childrens Way
#653
Little Rock, AR 72202
Phone (501) 614-2006

4301 W Markham St
Little Rock, AR 72205
Phone (501) 603-1278

1 Childrens Way
Ste 653
Little Rock, AR 72202

2400 Greatstone Pt
Lexington, KY 40504
Phone (859) 257-9800

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

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

2500 N State St
Jackson, MS 39216
Phone (601) 815-4775

11783 Rock Landing Dr
Newport News, VA 23606
Phone (757) 668-6550

601 Childrens Ln
Norfolk, VA 23507
Phone (757) 668-7272

2021 Concert Dr
Virginia Beach, VA 23456
Phone (757) 668-6550

Organizations & group practices 15

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.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753920000000",
    "number": "1093876419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 CHILDRENS WAY",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722023500",
            "telephone_number": "501-364-1100",
            "fax_number": "501-364-4082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "231 E CHESTNUT ST",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402021821",
            "telephone_number": "502-629-6000",
            "fax_number": "757-668-9735"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Childrens Way",
            "address_purpose": "LOCATION",
            "city": "Little Rock",
            "state": "AR",
            "postal_code": "72202",
            "country_code": "US",
            "telephone_number": "501-364-1100",
            "fax_number": "501-364-4082",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4301 W Markham St # 515",
            "address_purpose": "LOCATION",
            "city": "Little Rock",
            "state": "AR",
            "postal_code": "72205",
            "country_code": "US",
            "telephone_number": "501-686-6114",
            "fax_number": "501-686-8139",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHAU",
        "first_name": "DESTINY",
        "middle_name": "FENGER",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-12",
        "last_updated": "2025-07-31",
        "certification_date": "2025-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "VA",
            "license": "0101254266",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "AR",
            "license": "E-12574",
            "primary": false
        },
        {
            "code": "207LP3000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pediatric Anesthesiology",
            "state": "KY",
            "license": "40254",
            "primary": false
        },
        {
            "code": "207LP3000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pediatric Anesthesiology",
            "state": "AR",
            "license": "E-12574",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.