Organization Active NPI

Medical Specialists of Kentuckiana

  • Pain Medicine (Anesthesiology) Physician
  • Louisville, KY
National Provider Identifier
1174795181
Registry record updated Apr 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
35843 Issued in KY
Legal business name
MEDICAL SPECIALISTS OF KENTUCKIANA
Practice address
170 Dr Arla Way
Louisville, KY 40229-5427
Phone
(502) 896-6166
Fax
(502) 896-6168
NPI assigned
Mar 31, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2008

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

Authorized official

Name
Dr. Krishna Samy NadarNPI 1801821962
Title
President
Phone
(502) 533-8888

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207LP2900X 35843 KY Primary

Addresses

Primary practice location

170 Dr Arla Way
Louisville, KY 40229-5427

Mailing address

1013 N Dupont SQ Ste a
Louisville, KY 40207-4612
Phone (502) 896-6166

Other identifiers 1

IdentifierTypeStateIssuer
65940421MedicaidKY

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051110000705 KY Part B Supplier - Clinic/Group Practice 0345268090 Receives reassigned benefits from 3 practitioners
2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Owensboro, KY; Louisville, KY

Other NPIs on the same Medicare enrollment 2

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

National Provider Directory

National Provider Directory

Locations

170 Dr Arla Way
Louisville, KY 40229
Phone (502) 955-8480

1013 N DuPont Sq
#A
Louisville, KY 40207
Phone (502) 896-6166

4010 DuPont Cir
Ste 370
Louisville, KY 40207
Phone (502) 895-6155

2816 Veach Rd
Ste 105
Owensboro, KY 42303
Phone (270) 684-7179

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1206921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209513600000",
    "number": "1174795181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1013 N DUPONT SQ STE A",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402074612",
            "telephone_number": "502-896-6166",
            "fax_number": "502-896-6168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 DR ARLA WAY",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402295427",
            "telephone_number": "502-896-6166",
            "fax_number": "502-896-6168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL SPECIALISTS OF KENTUCKIANA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-31",
        "last_updated": "2008-04-30",
        "status": "A",
        "authorized_official_last_name": "NADAR",
        "authorized_official_first_name": "KRISHNA",
        "authorized_official_middle_name": "SAMY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "502-533-8888",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "KY",
            "license": "35843",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "65940421",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2008; 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.