Organization Active NPI

Tsai Internal Medicine, Inc.

  • Internal Medicine Physician
  • Louisville, KY
National Provider Identifier
1174813141
Registry record updated Apr 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
28194 Issued in KY
Legal business name
TSAI INTERNAL MEDICINE, INC.
Practice address
6400 Dutchmans Pkwy
Suite 210
Louisville, KY 40205-3340
Phone
(502) 897-1740
Fax
(502) 896-1294
NPI assigned
Apr 12, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2011

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

Authorized official

Name
Dr. Y-Yi Tsai, M.D.
Title
Owner
Phone
(502) 897-1740

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 28194 KY Primary

Addresses

Primary practice location

6400 Dutchmans Pkwy
Suite 210
Louisville, KY 40205-3340

Mailing address

6400 Dutchmans Pkwy
Suite 210
Louisville, KY 40205-3340
Phone (502) 897-1740

Other identifiers 1

IdentifierTypeStateIssuer
64281942MedicaidKY

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120314000035 KY Part B Supplier - Clinic/Group Practice 9739348566 Receives reassigned benefits from 1 practitioner
Practice locations: Louisville, KY

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
18D0321264Tsai Internal Medicine Inc6400 Dutchmans Parkway Suite 210, Louisville, KY 40205Provider-performed microscopyFeb 8, 2027

National Provider Directory

National Provider Directory

Locations

6400 Dutchmans Pkwy
Ste 210
Louisville, KY 40205
Phone (502) 418-1087

Practitioners & affiliated clinicians

Practitioners 1

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": "1302566400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302566400000",
    "number": "1174813141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6400 DUTCHMANS PKWY",
            "address_2": "SUITE 210",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402053340",
            "telephone_number": "502-897-1740",
            "fax_number": "502-896-1294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6400 DUTCHMANS PKWY",
            "address_2": "SUITE 210",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402053340",
            "telephone_number": "502-897-1740",
            "fax_number": "502-896-1294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TSAI INTERNAL MEDICINE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-12",
        "last_updated": "2011-04-12",
        "status": "A",
        "authorized_official_last_name": "TSAI",
        "authorized_official_first_name": "Y-YI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "502-897-1740",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "KY",
            "license": "28194",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64281942",
            "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 12, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.