Individual provider Active NPI

Pushkaraj Jadhav, MD

  • Neonatal-Perinatal Medicine Physician
  • Louisville, KY
National Provider Identifier
1144434549
Registry record updated Jul 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neonatal-Perinatal Medicine PhysicianTaxonomy code 2080N0001X
License
40783 Issued in KY
Practice address
4123 Dutchmans LN
Suite 301
Louisville, KY 40207-4707
Phone
(502) 896-2500
Fax
(502) 896-2527
NPI assigned
May 9, 2007
Last updated
Jul 12, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neonatal-Perinatal Medicine Physician 2080N0001X 40783 KY Primary

Addresses

Primary practice location

4123 Dutchmans LN
Suite 301
Louisville, KY 40207-4707

Mailing address

PO Box 776351
Chicago, IL 60677-6351
Phone (502) 588-9490

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120118000879 KY Practitioner - Pediatric MedicinePractitioner - Other (Physician) 3779750542 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
40783KYMDNeonatal-Perinatal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Norton Children's Medical Group, LLC Neonatal-Perinatal Medicine CurrentSince Mar 1, 2020 Accepting new patients
Community Medical Associates, Inc. Current Accepting new patients
Community Medical Associates, Inc. Neonatal-Perinatal Medicine CurrentSince Nov 1, 2011 Accepting new patients
Norton Children's Medical Group, LLC Current Accepting new patients
Norton Children's Medical Group, LLC CurrentSince Mar 1, 2020 Accepting new patients
Methodist Health, Inc. Neonatal-Perinatal Medicine CurrentSince Jan 1, 2021 Accepting new patients
Methodist Health, Inc. CurrentSince Jan 1, 2021 Accepting new patients
Community Medical Associates, Inc. CurrentSince Nov 1, 2011 Accepting new patients
Methodist Health, Inc. Past Accepting new patients

Locations

2051 Clevidence Blvd
Ste B
Clarksville, IN 47129
Phone (502) 629-2030

1220 Missouri Ave
Jeffersonvlle, IN 47130
Phone (812) 282-2072

1850 State St
New Albany, IN 47150
Phone (812) 944-7701

720 2nd Ave
Ste 102
Bowling Green, KY 42101
Phone (502) 583-1697

913 N Dixie Ave
Elizabethtown, KY 42701
Phone (270) 706-1212

1305 N Elm St
Henderson, KY 42420
Phone (270) 827-7100

2000 N Elm St
Henderson, KY 42420
Phone (270) 827-3573

505 Klutey Park Plaza Dr
Ste A
Henderson, KY 42420
Phone (270) 869-1997

1025 New Moody Ln
Lagrange, KY 40031
Phone (502) 222-3335

200 E Chestnut St
Louisville, KY 40202
Phone (502) 446-8000

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

411 E Chestnut St
#2
Louisville, KY 40202
Phone (502) 588-0902

4123 Dutchmans Ln
Ste 301
Louisville, KY 40207
Phone (502) 896-2500

4123 Dutchmans Ln
Ste 606
Louisville, KY 40207
Phone (502) 896-2500

530 S Jackson St
Louisville, KY 40202
Phone (502) 562-3000

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

601 S Floyd St
Ste 700
Louisville, KY 40202
Phone (502) 629-7181

825 Barret Ave
Louisville, KY 40204
Phone (502) 272-5165

1000 Breckenridge St
Ste 301
Owensboro, KY 42303
Phone (270) 852-8894

1201 Pleasant Valley Rd
Owensboro, KY 42303
Phone (270) 417-2000

2501 Kentucky Ave
Paducah, KY 42003
Phone (270) 575-2180

2605 Kentucky Ave
Ste 102
Paducah, KY 42003
Phone (270) 415-8965

4000 Kresge Way
St Matthews, KY 40207
Phone (502) 459-7902

Organizations & group practices 9

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": "1178668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468281600000",
    "number": "1144434549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 776351",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606776351",
            "telephone_number": "502-588-9490",
            "fax_number": "502-272-5116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4123 DUTCHMANS LN",
            "address_2": "SUITE 301",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402074707",
            "telephone_number": "502-896-2500",
            "fax_number": "502-896-2527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JADHAV",
        "first_name": "PUSHKARAJ",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-09",
        "last_updated": "2016-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080N0001X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": "KY",
            "license": "40783",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.