Individual provider Active NPI

Deborah Hart, PA-C

  • Physician Assistant
  • Louisville, KY
National Provider Identifier
1134558927
Registry record updated Sep 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
TC246 Issued in KY
Practice address
6400 Dutchmans Pkwy Ste 60
Louisville, KY 40205-3341
Phone
(027) 089-8805
Fax
(502) 708-6911
NPI assigned
Nov 2, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 5, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 50.002065 OH
Physician Assistant 363A00000X TC246 KY Primary

Addresses

Primary practice location

6400 Dutchmans Pkwy Ste 60
Louisville, KY 40205-3341

Mailing address

1169 Eastern Pkwy Ste 400
Louisville, KY 40217-1412
Phone (502) 276-5554

Other practice location 1

1169 Eastern Pkwy Ste 400
Louisville, KY 40217-1412
Phone (502) 276-5554

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131203001090 KY Practitioner - Physician Assistant 9234365834 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ohio Valley Pain Institute PLLCGroup PAC ID 9638429657, 4 clinicians

Practice addresses (Care Compare)

1169 Eastern Pkwy
Louisville, KY 40217-1417
Phone (502) 276-5554

Hospital & facility affiliations

  • Baptist Health Louisville Hospital, Louisville, KY, CCN 180130

Merit-based Incentive Payment System (MIPS)

Final score
82.05 of 100Reported as group
Quality
68.56
Promoting interoperability
95
Improvement activities
40
Cost
75.76

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
50.002065OHMDPhysician Assistant

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BHHFBD/Endpoint/BHHFBD

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1383350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757030400000",
    "number": "1134558927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1169 EASTERN PKWY STE 400",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402171412",
            "telephone_number": "502-276-5554",
            "fax_number": "502-403-2065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6400 DUTCHMANS PKWY STE 60",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402053341",
            "telephone_number": "027-089-8805",
            "fax_number": "502-708-6911"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1169 Eastern Pkwy Ste 400",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402171412",
            "country_code": "US",
            "telephone_number": "502-276-5554",
            "fax_number": "502-403-2065",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HART",
        "first_name": "DEBORAH",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-11-02",
        "last_updated": "2025-09-05",
        "certification_date": "2025-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50.002065",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KY",
            "license": "TC246",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.