NPIMap

Individual provider Active NPI

Jonathan A Becker, MD

  • Family Medicine Physician
  • Louisville, KY
National Provider Identifier
1235132333
Registry record updated Jan 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
37369 Issued in KY
Practice address
501 E Broadway Ste 290
Louisville, KY 40202-2040
Phone
(502) 217-8221
Fax
(502) 217-5056
NPI assigned
May 23, 2005
Last updated
Jan 12, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 37369 KY Primary
Sports Medicine (Family Medicine) Physician 207QS0010X 37369 KY

Addresses

Primary practice location

501 E Broadway Ste 290
Louisville, KY 40202-2040

Mailing address

501 E Broadway
Suite 290
Louisville, KY 40202-1785
Phone (502) 217-8221

Other identifiers 2

IdentifierTypeStateIssuer
64050321MedicaidKY
200533690MedicaidIN

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
I20031222000758 KY Practitioner - Family Practice 6406754969 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Chicago College of Medicine and Surgery, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1850 Bluegrass Ave
Louisville, KY 40215-1161
Phone (502) 367-3360

4402 Churchman Ave
Suite 300
Louisville, KY 40215-3101
Phone (502) 636-0558

571 S Floyd St
Louisville, KY 40202-3818
Phone (502) 629-2398

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
37369KYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Louisville Physicians, Inc. CurrentSince Dec 3, 2011 Accepting new patients
University of Louisville Physicians, Inc. Family Medicine Current Accepting new patients
University of Louisville Physicians, Inc. CurrentSince Dec 3, 2011 Accepting new patients
University Family Practice Assoc. PSC Family Medicine Past Accepting new patients
University Family & Geriatric Medicine Associates Inc Family Medicine Past Accepting new patients
Orthopaedic Specialists PLLC Past Accepting new patients
University of Louisville Physicians, Inc. Past Accepting new patients
Uofl Health-Louisville Inc Past Accepting new patients

Locations

7752 Solution Ctr
Chicago, IL 60677

1941 Bishop Ln
Ste 900
Louisville, KY 40218
Phone (502) 588-2500

215 Central Ave
Ste 100
Louisville, KY 40208
Phone (502) 588-8720

501 E Broadway
Ste 290
Louisville, KY 40202
Phone (502) 217-5134

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

530 S Jackson St
Fl 2
Louisville, KY 40202
Phone (502) 561-8844

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

550 S Jackson St
Fl 1
Louisville, KY 40202
Phone (502) 552-6503

550 S Jackson St
Fl 3
Louisville, KY 40202
Phone (502) 561-8850

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

Interoperability endpoints

  • Direct secure messaging: jbecker13540@uoflhealth-dm.org

Organizations & group practices 8

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.

Hospital & facility affiliations 22

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

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1116806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1263254400000",
    "number": "1235132333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 E BROADWAY",
            "address_2": "SUITE 290",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402021785",
            "telephone_number": "502-217-8221",
            "fax_number": "502-217-5056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 E BROADWAY STE 290",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402022040",
            "telephone_number": "502-217-8221",
            "fax_number": "502-217-5056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BECKER",
        "first_name": "JONATHAN",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-23",
        "last_updated": "2010-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "37369",
            "primary": true
        },
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "KY",
            "license": "37369",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64050321",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200533690",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.