NPIMap

Individual provider Active NPI

Ross F Micciche, MD

  • Urology Physician
  • Louisville, KY
National Provider Identifier
1235663147
Registry record updated Oct 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
58926 Issued in KY
Practice address
501 E Broadway Ste 270
Louisville, KY 40202-2040
Phone
(502) 588-4740
NPI assigned
Apr 18, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 58926 KY Primary
Urology Physician 208800000X 01092561A IN
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

501 E Broadway Ste 270
Louisville, KY 40202-2040

Mailing address

500 S Preston St RM 305
Louisville, KY 40202-1702
Phone (502) 852-8696

Other practice location 1

1373 E State Road 62 Ste 2G
Madison, IN 47250-7328
Phone (812) 801-0894

Other identifiers 2

IdentifierTypeStateIssuer
300088159MedicaidIN
7100715760MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, KY2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240701001146 IN Practitioner - Urology 0446664643 Reassigns benefits to 3 organizations
I20240711002567 KY Practitioner - Urology 0446664643 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
University of Louisville School of Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
First Urology PSCGroup PAC ID 3779572888, 56 clinicians
Community Medical Associates IncGroup PAC ID 7012811284, 1,368 clinicians

Practice addresses (Care Compare)

101 Hospital Blvd
Jeffersonville, IN 47130-3769
Phone (812) 282-3899

1373 E State Rd
Madison, IN 47250-7328
Phone (812) 801-0894

2400 Eastpoint Pkwy
Suite 560
Louisville, KY 40223-4154
Phone (502) 897-7172

300 High Point CT
Mount Washington, KY 40047-6560
Phone (502) 955-6129

3920 S Dupont SQ C
Louisville, KY 40207-4615
Phone (812) 282-3899

5120 Dixie Hwy
Suite 105
Louisville, KY 40216-1775
Phone (812) 282-3899

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
63.09 of 100Reported as group
Quality
45.91
Improvement activities
40
Cost
76.14

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection11

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01092561AINMDUrology Physician
58926KYMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Community Medical Associates, Inc. Current Accepting new patients
Community Medical Associates, Inc. CurrentSince Jan 1, 2025 Accepting new patients
Community Medical Associates, Inc. CurrentSince Jan 1, 2025 Accepting new patients
First Urology, PSC Urology CurrentSince May 14, 2024 Accepting new patients
Norton - Kings Daughters Health Inc Urology CurrentSince Aug 1, 2024 Accepting new patients
Norton - Kings Daughters Health Inc CurrentSince Aug 1, 2024 Accepting new patients
First Urology, PSC Urology Past Accepting new patients

Locations

3431 Solutions Ctr
Chicago, IL 60677

2051 Clevidence Blvd
Clarksville, IN 47129
Phone (812) 280-6650

313 Federal Dr NW
Ste 140
Corydon, IN 47112

101 Hospital Blvd
Jeffersonvlle, IN 47130
Phone (812) 206-8196

1373 E State Road 62
#6F
Madison, IN 47250
Phone (502) 629-7181

1373 E State Road 62
Ste 2G
Madison, IN 47250
Phone (812) 801-0894

1373 N State Road 62
Madison, IN 47250
Phone (812) 801-0196

1919 State St
Ste 205
New Albany, IN 47150
Phone (812) 941-0443

1023 New Moody Ln
Ste 202A
Lagrange, KY 40031
Phone (502) 222-3324

170 Dr Arla Way
Ste 101
Louisville, KY 40229
Phone (502) 888-1988

2400 Eastpoint Pkwy
Ste 560
Louisville, KY 40223
Phone (502) 210-6610

3920 S DuPont Sq
Ste C
Louisville, KY 40207
Phone (502) 721-0116

5120 Dixie Hwy
Ste 105
Louisville, KY 40216
Phone (502) 448-5509

3 Audubon Plaza Dr
Ste L10
Louisville, KY 40217
Phone (502) 636-2800

300 High Point Ct
Mt Washington, KY 40047
Phone (502) 447-4595

515 Hospital Dr
Ste 3
Shelbyville, KY 40065
Phone (502) 633-2661

115 Huston Dr
Shepherdsville, KY 40165
Phone (502) 365-2655

Interoperability endpoints

  • Direct secure messaging: rmicciche127731@direct.nortonhealthcare.org

Organizations & group practices 7

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 20

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

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1492473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759968000000",
    "number": "1235663147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 S PRESTON ST RM 305",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402021702",
            "telephone_number": "502-852-8696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 E BROADWAY STE 270",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402022040",
            "telephone_number": "502-588-4740"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1373 E State Road 62 Ste 2G",
            "address_purpose": "LOCATION",
            "city": "Madison",
            "state": "IN",
            "postal_code": "472507328",
            "country_code": "US",
            "telephone_number": "812-801-0894",
            "fax_number": "812-801-0025",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MICCICHE",
        "first_name": "ROSS",
        "middle_name": "F",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-04-18",
        "last_updated": "2025-10-09",
        "certification_date": "2025-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "KY",
            "license": "58926",
            "primary": true
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "IN",
            "license": "01092561A",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300088159",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100715760",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.