NPIMap

Individual provider Active NPI

Charles M Inbaraj, M.D.

  • Internal Medicine Physician
  • Louisville, KY
National Provider Identifier
1134184682
Registry record updated Nov 1, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
34795 Issued in KY
Practice address
4950 Norton Healthcare Blvd
#100
Louisville, KY 40241-2845
Phone
(502) 394-6200
Fax
(502) 394-6210
NPI assigned
Apr 19, 2006
Last updated
Nov 1, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2007

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 34795 KY Primary

Addresses

Primary practice location

4950 Norton Healthcare Blvd
#100
Louisville, KY 40241-2845

Mailing address

PO Box 950202
Louisville, KY 40295-0202
Phone (502) 969-6552

Other identifiers 2

IdentifierTypeStateIssuer
64009509MedicaidKY
P00176919OtherKYRAILROAD MEDICARE

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)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Norton Enterprises, Inc. Past Accepting new patients
After Hour Care of Kentuckiana, Inc. Past Accepting new patients
Advanced Eye Care PSC Past Accepting new patients
Norton Hospitals, Inc Past Accepting new patients
Community Medical Associates, Inc. Internal Medicine Past Accepting new patients
RMS Outpatient Therapy Holdings LLC Past Accepting new patients

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1145404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193875200000",
    "number": "1134184682",
    "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": "502-969-6552",
            "fax_number": "502-212-1358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4950 NORTON HEALTHCARE BLVD",
            "address_2": "#100",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402412845",
            "telephone_number": "502-394-6200",
            "fax_number": "502-394-6210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "INBARAJ",
        "first_name": "CHARLES",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-19",
        "last_updated": "2007-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KY",
            "license": "34795",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64009509",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00176919",
            "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 Nov 1, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.