Individual provider Active NPI

Patricia W Wheeler, MD

  • Family Medicine Physician
  • Louisville, KY
National Provider Identifier
1154372001
Registry record updated Mar 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
28850 Issued in KY
Practice address
9520 Ormsby Station Rd. Ste 175
Plaza III Hurstbourne Green
Louisville, KY 40223
Phone
(502) 426-0606
Fax
(502) 426-0604
NPI assigned
May 15, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 28850 KY Primary

Addresses

Primary practice location

9520 Ormsby Station Rd. Ste 175
Plaza III Hurstbourne Green
Louisville, KY 40223

Mailing address

100 East Liberty
Suite 800
Louisville, KY 40202-1434
Phone (502) 426-0606

Other identifiers 2

IdentifierTypeStateIssuer
64004443MedicaidKY
200197760MedicaidIN

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
I20051115000781 KY Practitioner - Family Practice 8325067739 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University of Louisville Physicians, Inc. Family Medicine Current Accepting new patients
University of Louisville Physicians, Inc. CurrentSince Oct 11, 2019 Accepting new patients
University of Louisville Physicians, Inc. CurrentSince Oct 11, 2019 Accepting new patients
University of Louisville Research Foundation Family Medicine Past Accepting new patients
University Physicians Group - Radiology Past Accepting new patients

Locations

7752 Solution Ctr
Chicago, IL 60677

550 S Jackson St
Louisville, KY 40202
Phone (502) 561-8686

571 S Floyd St
Louisville, KY 40202
Phone (502) 561-2700

550 S Jackson St
Fl First
Louisville, KY 40202
Phone (502) 852-0011

1941 Bishop Ln
Ste 900
Louisville, KY 40218
Phone (502) 588-2500

550 S Jackson St
Fl 3
Louisville, KY 40202
Phone (502) 561-8850

215 Central Ave
Ste 100
Louisville, KY 40208
Phone (502) 588-8720

5100 Outer Loop
Louisville, KY 40219
Phone (502) 968-6226

530 S Jackson St
Fl 2
Louisville, KY 40202
Phone (502) 561-8844

215 Central Ave
Ste 110
Louisville, KY 40208
Phone (502) 852-5205

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

9520 Ormsby Station Rd
Ste 175
Louisville, KY 40223
Phone (502) 426-0606

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Treyton Oak TowersLouisville, KY, CCN 185175 Skilled nursing facility Corporate Director Oct 9, 2012

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1147651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521504000000",
    "number": "1154372001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 EAST LIBERTY",
            "address_2": "SUITE 800",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402021434",
            "telephone_number": "502-426-0606",
            "fax_number": "502-426-0604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9520 ORMSBY STATION RD. STE 175",
            "address_2": "PLAZA III HURSTBOURNE GREEN",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "40223",
            "telephone_number": "502-426-0606",
            "fax_number": "502-426-0604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHEELER",
        "first_name": "PATRICIA",
        "middle_name": "W",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-15",
        "last_updated": "2018-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "28850",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64004443",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200197760",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.