NPIMap

Individual provider Active NPI

Vladimir Pulgaron, MD

  • Family Medicine Physician
  • Louisville, KY
National Provider Identifier
1215565916
Registry record updated Jul 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
57768 Issued in KY
Practice address
3101 Poplar Level Rd Ste 101
Louisville, KY 40213-1076
Phone
(502) 636-7444
Fax
(502) 636-7112
NPI assigned
Mar 29, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 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
Family Medicine Physician 207Q00000X 57768 KY Primary

Addresses

Primary practice location

3101 Poplar Level Rd Ste 101
Louisville, KY 40213-1076

Mailing address

3101 Poplar Level Rd Ste 101
Louisville, KY 40213-1076
Phone (502) 636-7444

Other practice location 1

7926 Preston Hwy Ste 103
Louisville, KY 40219-3848
Phone (502) 861-4655

Other names 1

  • Vladimir Pulgaron Professional name

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
I20211019002351 KY Practitioner - Family Practice 4385047455 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Community Medical Associates IncGroup PAC ID 7012811284, 1,368 clinicians

Practice addresses (Care Compare)

7926 Preston Hwy
Suite 106
Louisville, KY 40219-3848
Phone (502) 964-4357

Hospital & facility affiliations

  • Norton Hospitals, Inc Hospital, Louisville, KY, CCN 180088

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
57768KYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Community Medical Associates, Inc. CurrentSince Oct 11, 2021 Accepting new patients
Community Medical Associates, Inc. CurrentSince Oct 11, 2021 Accepting new patients
Community Medical Associates, Inc. Family Medicine Past Accepting new patients

Locations

1230 Market St
Ste B
La Grange, KY 40031
Phone (502) 225-6920

3101 Poplar Level Rd
Ste 102
Louisville, KY 40213
Phone (502) 636-6012

7926 Preston Hwy
Ste 103
Louisville, KY 40219
Phone (502) 309-9811

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

9880 Angies Way
Ste 160
Louisville, KY 40241
Phone (502) 394-6333

9340 Cedar Center Way
Louisville, KY 40291
Phone (502) 239-8431

1321 Herr Ln
Ste 195
Louisville, KY 40222
Phone (502) 423-7911

2470 Bardstown Rd
#B
Louisville, KY 40205
Phone (502) 459-3991

12903 Shelbyville Rd
Louisville, KY 40243
Phone (502) 244-5827

3101 Poplar Level Rd
Ste 101
Louisville, KY 40213
Phone (502) 636-7444

4803 Olympia Park Plz
Ste 1100
Louisville, KY 40241
Phone (502) 272-5134

12615 Taylorsville Rd
Ste B
Louisville, KY 40299
Phone (502) 261-1565

7926 Preston Hwy
Ste 106
Louisville, KY 40219
Phone (502) 964-4357

438 Adam Shepherd Pkwy
Ste 2
Shepherdsville, KY 40165
Phone (502) 957-6434

Interoperability endpoints

  • Direct secure messaging: vpulgaron186489@direct.nortonhealthcare.org

Organizations & group practices 3

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": "1585440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688169600000",
    "number": "1215565916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3101 POPLAR LEVEL RD STE 101",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402131076",
            "telephone_number": "502-636-7444",
            "fax_number": "502-636-7112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3101 POPLAR LEVEL RD STE 101",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402131076",
            "telephone_number": "502-636-7444",
            "fax_number": "502-636-7112"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7926 Preston Hwy Ste 103",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402193848",
            "country_code": "US",
            "telephone_number": "502-861-4655",
            "fax_number": "502-861-4654",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PULGARON",
        "first_name": "VLADIMIR",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-03-29",
        "last_updated": "2023-07-01",
        "certification_date": "2023-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "57768",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VLADIMIR",
            "last_name": "PULGARON",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.