Organization Active NPI

Aptiva Health Imaging

  • Magnetic Resonance Imaging (MRI) Internal Medicine Physician
  • Louisville, KY
National Provider Identifier
1184223190
Registry record updated Feb 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Magnetic Resonance Imaging (MRI) Internal Medicine PhysicianTaxonomy code 207RM1200X
Legal business name
APTIVA HEALTH IMAGING
Practice address
3615 Newburg Rd Ste 106
Louisville, KY 40218-3368
Phone
(502) 909-0772
Fax
(855) 859-0123
NPI assigned
Oct 21, 2020
Last updated
Feb 7, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2023

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

Authorized official

Name
Eric Lowe
Title
Ceo
Phone
(502) 909-0772

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Magnetic Resonance Imaging (MRI) Internal Medicine Physician 207RM1200X Primary

Addresses

Primary practice location

3615 Newburg Rd Ste 106
Louisville, KY 40218-3368

Mailing address

3615 Newburg Rd Ste 106
Louisville, KY 40218-3368

Other practice location 1

426 Codell Dr
Lexington, KY 40509-1075
Phone (502) 780-5527

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20211026000228 KY Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 2163827502 Practice locations: Louisville, KY
O20250813003023 KY Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 2163827502 Practice locations: Hebron, KY
O20260123000483 KY Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 2163827502 Practice locations: Lexington, KY

National Provider Directory

National Provider Directory

Locations

2093 Medical Arts Dr
Ste 1A
Hebron, KY 41048
Phone (502) 780-5527

426 Codell Dr
Lexington, KY 40509
Phone (502) 780-5527

12300 Plantside Dr
Ste 106
Louisville, KY 40299

3615 Newburg Rd
Ste 106
Louisville, KY 40218
Phone (502) 780-5527

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1603238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675728000000",
    "number": "1184223190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3615 NEWBURG RD STE 106",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402183368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3615 NEWBURG RD STE 106",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402183368",
            "telephone_number": "502-909-0772",
            "fax_number": "855-859-0123"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "426 Codell Dr",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "KY",
            "postal_code": "405091075",
            "country_code": "US",
            "telephone_number": "502-780-5527",
            "fax_number": "855-859-0123",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "APTIVA HEALTH IMAGING",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-21",
        "last_updated": "2023-02-07",
        "certification_date": "2023-02-07",
        "status": "A",
        "authorized_official_last_name": "LOWE",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "502-909-0772"
    },
    "taxonomies": [
        {
            "code": "207RM1200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Magnetic Resonance Imaging (MRI)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Feb 7, 2023; 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.