NPIMap

Individual provider Active NPI

Molly Tuller, MD

  • Obstetrics & Gynecology Physician
  • Louisville, KY
National Provider Identifier
1184157570
Registry record updated Oct 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
57927 Issued in KY
Practice address
4123 Dutchmans LN Ste 500
Louisville, KY 40207-4730
Phone
(502) 894-9494
Fax
(502) 894-9404
NPI assigned
Apr 4, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Obstetrics & Gynecology Physician 207V00000X 57927 KY Primary

Addresses

Primary practice location

4123 Dutchmans LN Ste 500
Louisville, KY 40207-4730

Mailing address

PO Box 776351
Chicago, IL 60677-6351
Phone (502) 588-9490

Other practice location 1

500 S Preston St
Room 305
Louisville, KY 40202-1702
Phone (502) 852-8696

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231107003949 KY Practitioner - Obstetrics/Gynecology 5092162453 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Louisville School of Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Medical Associates IncGroup PAC ID 7012811284, 1,368 clinicians

Practice addresses (Care Compare)

4123 Dutchmans LN
Suite 500
Louisville, KY 40207-4730
Phone (502) 894-9494

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.11 of 100Reported as group
Quality
63.34
Promoting interoperability
100
Improvement activities
40
Cost
73.68

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
57927KYMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Community Medical Associates, Inc. Current Accepting new patients
Community Medical Associates, Inc. CurrentSince Nov 1, 2023 Accepting new patients
Community Medical Associates, Inc. Obstetrics & Gynecology CurrentSince Nov 1, 2023 Accepting new patients
Norton Hospitals, Inc Past Accepting new patients
Community Medical Associates, Inc. Obstetrics & Gynecology Past Accepting new patients

Locations

106 W John Rowan Blvd
Ste E
Bardstown, KY 40004
Phone (502) 350-4799

12615 Taylorsville Rd
Ste C
Louisville, KY 40299
Phone (502) 629-2030

850 S 28th St
Ste 104
Louisville, KY 40211
Phone (502) 394-5678

4420 Dixie Hwy
Ste 128
Louisville, KY 40216
Phone (502) 449-6400

4123 Dutchmans Ln
Ste 515
Louisville, KY 40207
Phone (502) 899-6900

4123 Dutchmans Ln
Ste 500
Louisville, KY 40207
Phone (502) 894-9494

200 E Chestnut St
Louisville, KY 40202
Phone (502) 446-8000

601 S Floyd St
Ste 500
Louisville, KY 40202
Phone (502) 458-6089

825 Barret Ave
Louisville, KY 40204
Phone (502) 272-5165

601 S Floyd St
Ste 350
Louisville, KY 40202
Phone (502) 409-5600

300 High Point Ct
Ste B
Mt Washington, KY 40047
Phone (502) 955-6129

Interoperability endpoints

  • Direct secure messaging: mlisterman127718@direct.nortonhealthcare.org

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.

Hospital & facility affiliations 14

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1491264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696896000000",
    "number": "1184157570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 776351",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606776351",
            "telephone_number": "502-588-9490",
            "fax_number": "502-272-5116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4123 DUTCHMANS LN STE 500",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402074730",
            "telephone_number": "502-894-9494",
            "fax_number": "502-894-9404"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "500 S Preston St",
            "address_2": "Room 305",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402021702",
            "country_code": "US",
            "telephone_number": "502-852-8696",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TULLER",
        "first_name": "MOLLY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-04",
        "last_updated": "2023-10-10",
        "certification_date": "2023-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "KY",
            "license": "57927",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.