NPIMap

Organization Active NPI

Uofl Health-Louisville Inc

  • General Acute Care Hospital
  • Louisville, KY
National Provider Identifier
1144856543
Registry record updated Mar 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
Legal business name
UOFL HEALTH-LOUISVILLE INC
Practice address
2401 Terra Crossing Blvd
Louisville, KY 40245-5371
Phone
(502) 210-4200
NPI assigned
Mar 17, 2020
Last updated
Mar 17, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2020

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

Authorized official

Name
Thomas Daniel Miller
Title
Ceo
Phone
(502) 562-4004

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X
General Acute Care Hospital 282N00000X Primary

Addresses

Primary practice location

2401 Terra Crossing Blvd
Louisville, KY 40245-5371

Mailing address

530 S Jackson St
Louisville, KY 40202-1675
Phone (502) 562-4004

Other identifiers 1

IdentifierTypeStateIssuer
01022367MedicaidKY

Other names 1

  • UofL Health - Medical Center Northeast Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191210003366 KY Part A Provider - Hospital 6406289529 21 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Shepherdsville, KY; New Albany, IN; Louisville, KY

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1144856543. Details of each certification follow.

Hospital certification: CCN 180040

Legal name
UOFL HEALTH-LOUISVILLE INC
Doing business as
UOFL HEALTH - LOUISVILLE
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Mar 23, 2012
Beds
1,261
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Incorporated
Sep 19, 2019 in KY
Enrollment address
200 Abraham Flexner Way
Louisville, KY 40202-2877
Main/Primary Hospital Location
Hospital subgroups
General, Acute care, Rehabilitation unit

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs on the same Medicare enrollment 21

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 21

Care Compare: Hospital

Medicare Care Compare
Listed as
UOFL HEALTH - JEWISH HOSPITAL and Mary & Elizabeth HospitalCCN 180040 · All quality measures
Overall star rating
2 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
18D1098767U of L Health- Medical Center Northeast2401 Terra Crossing Blvd, Louisville, KY 40245AccreditationJun 14, 2027

National Provider Directory

National Provider Directory
Tax ID family
Uofl Health-Louisville Inc29 organizations share this tax ID, including this one

Other organizations with this tax ID 28

Organizations that report the same tax identification number in the National Provider Directory.

View all 28

Locations

2401 Terra Crossing Blvd
Louisville, KY 40245
Phone (502) 210-4200

Ownership & related parties

All disclosed owners & managing parties 13

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Christopher Michael Jones Individual Corporate DirectorBoard Member May 1, 2026
Praveen V Arla Individual Corporate DirectorBoard Member Feb 26, 2020
Kenneth P Marshall Individual Corporate OfficerCoo Nov 1, 2019
Jason W Smith Individual Corporate OfficerCeo Jul 1, 2025
Corporate DirectorCeo Jul 1, 2025
Uofl Health, Inc. Organization, Louisville, KY Corporation, Non-profit 5% Or Greater Direct Ownership Interest Sep 19, 2019 100%
University of Louisville Organization, Louisville, KY Operational/Managerial Control Nov 1, 2019
Russell a Williams Individual Corporate DirectorBoard Member Feb 26, 2020
Arthur L Malkani Individual Corporate DirectorBoard Member Feb 26, 2020
Kirk Strack Individual Corporate OfficerCfo Jul 31, 2023
W-2 Managing EmployeeCfo Jul 1, 2025
Rodrigo Moreno Garcia Individual Corporate DirectorBoard Member May 1, 2026
Richard a Schultz Individual Corporate DirectorBoard Member Feb 26, 2020
Louann N Atlas Individual Corporate DirectorBoard Member Feb 26, 2020
William Wagner Individual Corporate DirectorBoard Member Feb 26, 2020

Owners & managing parties with NPI records 8

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Affiliated clinicians 1,514

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 1,514

NPI Registry JSON

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

{
    "created_epoch": "1584403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1584403200000",
    "number": "1144856543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 S JACKSON ST",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402021675",
            "telephone_number": "502-562-4004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 TERRA CROSSING BLVD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402455371",
            "telephone_number": "502-210-4200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UOFL HEALTH-LOUISVILLE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-17",
        "last_updated": "2020-03-17",
        "certification_date": "2020-03-17",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "DANIEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "502-562-4004"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01022367",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UofL Health - Medical Center Northeast",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.