Heyday Health Medical Group Kentucky, PSC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

HEYDAY HEALTH MEDICAL GROUP KENTUCKY, PSC

Practice address

312 S 4TH St Ste 700
Louisville, KY 40202-3046

Phone

(855) 443-9329

NPI assigned

Jan 3, 2023

Last updated

Apr 23, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Nupur MehtaNPI 1407993868

Title

President

Phone

(234) 200-0854

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Stephanie Lauren Avdagic, DNP, APRN, FNP-BC

  • Family Nurse Practitioner
  • Cincinnati, OH
  • NPI 1003486804

  KY

  Medicare reassignment NPD
• Nupur Mehta, M.D.

  • Internal Medicine Physician
  • Cleveland, OH
  • NPI 1407993868
  NPD Authorized official

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

{
    "created_epoch": "1672704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745366400000",
    "number": "1154034395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "143 BOARDMAN CANFIELD RD STE 359",
            "city": "BOARDMAN",
            "state": "OH",
            "postal_code": "445124804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 S 4TH ST STE 700",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402023046",
            "telephone_number": "855-443-9329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEYDAY HEALTH MEDICAL GROUP KENTUCKY, PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-03",
        "last_updated": "2025-04-23",
        "certification_date": "2025-04-08",
        "status": "A",
        "authorized_official_last_name": "MEHTA",
        "authorized_official_first_name": "NUPUR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "234-200-0854"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hannah Marie Hewlett, APRN
• Teal Hewlett, LCSW
• Andrew James Hey
• Felicia Marie Heybach, RRT
• Martha K Heyburn, MD
• Eve Sevier Hiatt, PHD, MSN, WHNP-BC
• Brian Robert Hibbard, MD
• Brenda Kay Hibberd, CRC
• Chavay Hibbitt
• Kelly Rochelle Hibbs

• Internal Medicine Physician in Louisville, KY
• Providers in Louisville, KY by specialty
• Internal Medicine Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2025; 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.