Individual provider Active NPI

Peter Sam Latino III, M.D.

  • Emergency Medicine Physician
  • Louisville, KY
National Provider Identifier
1215021738
Registry record updated Dec 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
01040253A Issued in IN
Practice address
800 Zorn Ave
Louisville, KY 40206-1433
Phone
(502) 287-4000
NPI assigned
Oct 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 01040253A IN Primary

Addresses

Primary practice location

800 Zorn Ave
Louisville, KY 40206-1433

Mailing address

800 Zorn Ave
Louisville, KY 40206-1433
Phone (502) 287-4000

Other identifiers 1

IdentifierTypeStateIssuer
100367810MedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, IN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20100203000472 KY Practitioner - Emergency Medicine 8224934559 Reassigns benefits to 1 organization
I20111212000768 IN Practitioner - Emergency Medicine 8224934559 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Louisiana State University School of Medicine in Shreveport, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

550 S Jackson St
Louisville, KY 40202-1622
Phone (502) 852-5866

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
78.96 of 100Reported as group
Quality
56.12
Promoting interoperability
100
Improvement activities
40
Cost
73.73

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01040253AINMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Louisville Physicians, Inc. Current Accepting new patients
University of Louisville Physicians, Inc. CurrentSince Oct 1, 2012 Accepting new patients
University of Louisville Physicians, Inc. Emergency Medicine CurrentSince Oct 1, 2012 Accepting new patients
Emergency Medicine Physicians Associates PC Emergency Medicine CurrentSince Feb 1, 2019 Accepting new patients
University Emergency Medicine Associates P.S.C. Emergency Medicine Past Accepting new patients

Locations

7752 Solution Ctr
Chicago, IL 60677

1220 Missouri Ave
Jeffersonvlle, IN 47130
Phone (812) 282-2072

571 S Floyd St
Louisville, KY 40202
Phone (502) 561-2700

550 S Jackson St
Louisville, KY 40202
Phone (502) 561-8686

530 S Jackson St
Louisville, KY 40202
Phone (502) 562-3000

800 Zorn Ave
Louisville, KY 40206
Phone (502) 287-4047

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 1

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

NPI Registry JSON

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766016000000",
    "number": "1215021738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 ZORN AVE",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402061433",
            "telephone_number": "502-287-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 ZORN AVE",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402061433",
            "telephone_number": "502-287-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LATINO",
        "first_name": "PETER",
        "middle_name": "SAM",
        "name_suffix": "III",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-02",
        "last_updated": "2025-12-18",
        "certification_date": "2025-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IN",
            "license": "01040253A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100367810",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.