Organization Active NPI

United Physicians LLC

  • Pulmonary Disease Physician
  • Louisville, KY
National Provider Identifier
1124368485
Registry record updated Jan 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
39870 Issued in KY
Legal business name
UNITED PHYSICIANS LLC
Practice address
3999 Dutchmans LN
Suite 2F
Louisville, KY 40207-4729
Phone
(502) 883-0227
Fax
(502) 410-0484
NPI assigned
Feb 25, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2015

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

Authorized official

Name
Dr. Sajjad Jameel, MDNPI 1770516387
Title
Manager
Phone
(904) 234-0766

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RP1001X 39870 KY Primary

Addresses

Primary practice location

3999 Dutchmans LN
Suite 2F
Louisville, KY 40207-4729

Mailing address

204 S Lyndon LN
Louisville, KY 40222-5547
Phone (904) 234-0766

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130509000640 KY Part B Supplier - Clinic/Group Practice 6709023740 Receives reassigned benefits from 1 practitioner
Practice locations: Louisville, KY

National Provider Directory

National Provider Directory

Locations

1015 DuPont Rd
Louisville, KY 40207
Phone (502) 883-0227

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1361750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421712000000",
    "number": "1124368485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 S LYNDON LN",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402225547",
            "telephone_number": "904-234-0766",
            "fax_number": "502-410-0484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3999 DUTCHMANS LN",
            "address_2": "SUITE 2F",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402074729",
            "telephone_number": "502-883-0227",
            "fax_number": "502-410-0484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITED PHYSICIANS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-25",
        "last_updated": "2015-01-20",
        "status": "A",
        "authorized_official_last_name": "JAMEEL",
        "authorized_official_first_name": "SAJJAD",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "904-234-0766",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "KY",
            "license": "39870",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jan 20, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.