Individual provider Active NPI

Elizabeth S Rachel, M.D.

  • Vascular Surgery Physician
  • Pewee Valley, KY
National Provider Identifier
1205830155
Registry record updated Apr 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
34980 Issued in KY
Practice address
217 La Grange Rd
Pewee Valley, KY 40056-9174
Phone
(502) 649-4441
Fax
(502) 901-9287
NPI assigned
Jun 9, 2005
Last updated
Apr 17, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 17, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X 34980 KY Primary

Addresses

Primary practice location

217 La Grange Rd
Pewee Valley, KY 40056-9174

Mailing address

217 La Grange Rd
Pewee Valley, KY 40056-9174
Phone (502) 649-4441

Other practice location 1

217 La Grange Rd
Pewee Valley, KY 40056-9174
Phone (502) 649-4441

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
I20100324000033 KY Practitioner - Vascular SurgeryPractitioner - General Surgery 1850426271 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
34980KYMDVascular Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vein Aesthetics MD PLLC Vascular Surgery CurrentSince Sep 21, 2025 Accepting new patients
Baptist Health Medical Group Inc CurrentSince May 1, 2024 Accepting new patients
Surgical Care Associates PSC Vascular Surgery CurrentSince Feb 7, 2010 Accepting new patients
Baptist Health Medical Group Inc CurrentSince May 1, 2024 Accepting new patients
Baptist Health Medical Group Inc Past Accepting new patients

Locations

3900 Kresge Way
Ste 41
Louisville, KY 40207
Phone (502) 896-1313

4003 Kresge Way
Ste 100
Louisville, KY 40207
Phone (502) 897-5139

4003 Kresge Way
Ste 228
Louisville, KY 40207
Phone (502) 893-5100

217 La Grange Rd
Pewee Valley, KY 40056
Phone (502) 649-4441

4003 Kresge Way
Ste 300
St Matthews, KY 40207
Phone (502) 893-7710

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1118275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776384000000",
    "number": "1205830155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 LA GRANGE RD",
            "city": "PEWEE VALLEY",
            "state": "KY",
            "postal_code": "400569174",
            "telephone_number": "502-649-4441",
            "fax_number": "502-901-9287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 LA GRANGE RD",
            "city": "PEWEE VALLEY",
            "state": "KY",
            "postal_code": "400569174",
            "telephone_number": "502-649-4441",
            "fax_number": "502-901-9287"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "217 La Grange Rd",
            "address_purpose": "LOCATION",
            "city": "Pewee Valley",
            "state": "KY",
            "postal_code": "400569174",
            "country_code": "US",
            "telephone_number": "502-649-4441",
            "fax_number": "502-901-9287",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RACHEL",
        "first_name": "ELIZABETH",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-06-09",
        "last_updated": "2026-04-17",
        "certification_date": "2026-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "KY",
            "license": "34980",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pewee Valley, KY

Sources for this page

Verify at the official NPI Registry.