Individual provider Active NPI

Paul Albert Tennant, M.D.

  • Otolaryngology Physician
  • Louisville, KY
National Provider Identifier
1245402353
Registry record updated Feb 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
47338 Issued in KY
Practice address
676 S Floyd St
Louisville, KY 40202-1840
Phone
(502) 629-2500
Fax
(502) 629-4445
NPI assigned
Mar 28, 2008
Last updated
Feb 10, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 47338 KY Primary

Addresses

Primary practice location

676 S Floyd St
Louisville, KY 40202-1840

Mailing address

PO Box 776347
Chicago, IL 60677-6347

Other identifiers 2

IdentifierTypeStateIssuer
7100136930MedicaidKY
201231030MedicaidIN

Electronic endpoints 4

TypeEndpointUseAffiliation
Direct Messaging Address ptennant58996@sih.direct-ci.com
Direct Messaging Address ptennant58996@sih.direct-ci.com
Direct Messaging Address PTENNANT1@IUHEALTH.ORG
Direct Messaging Address ptennant44953@direct.nortonhealthcare.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, IL, IN3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20110923000231 KY Practitioner - Otolaryngology 6406027408 Reassigns benefits to 4 organizations
I20220309002651 IL Practitioner - Otolaryngology 6406027408 Reassigns benefits to 2 organizations
I20220617000868 IN Practitioner - Otolaryngology 6406027408 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
University of Tennessee, HSC, College of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Norton Hospitals, IncGroup PAC ID 9830001528, 137 clinicians
Ohio County Hospital CorporationGroup PAC ID 3577477264, 84 clinicians

Practice addresses (Care Compare)

1 Audubon Plaza Dr
Louisville, KY 40217-1318
Phone (502) 636-8334

1211 Main St
Hartford, KY 42347-1619
Phone (270) 298-7411

1211 Old Main St
Hartford, KY 42347-1619
Phone (270) 298-3806

1215 Old Main St
Hartford, KY 42347-1619
Phone (270) 730-5344

200 E Chestnut St
FL 6
Louisville, KY 40202-1831
Phone (502) 629-2806

200 S Walnut St
Schneck Medical Center
Seymour, IN 47274-2312
Phone (812) 522-2349

315 E Broadway
Louisville, KY 40202-3700

411 W Tipton St
Seymour, IN 47274-2363

4955 Norton Healthcare Blvd
Louisville, KY 40241-2832
Phone (502) 394-6350

676 S Floyd St
Louisville, KY 40202-1840
Phone (502) 629-4555

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion1-10
Upper gastrointestinal (GI) endoscopy for acid reflux31
Melanoma (skin cancer) excision35
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
47338KYMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Indiana University Health Southern Indiana Physicians, LLC Otolaryngology CurrentSince Jun 8, 2022 Accepting new patients
Indiana University Health Southern Indiana Physicians LLC CurrentSince Jun 8, 2022 Accepting new patients
Norton Hospitals Inc Otolaryngology CurrentSince Nov 9, 2022 Accepting new patients
University of Louisville Physicians, Inc. CurrentSince Jul 1, 2014 Accepting new patients
University of Louisville Physicians, Inc Otolaryngology CurrentSince Jul 1, 2014 Accepting new patients
Baptist Health Deaconess Medical Group Inc CurrentSince Jan 6, 2022 Accepting new patients
University of Louisville Physicians, Inc. Current Accepting new patients
Ohio County Hospital Corporation Current Accepting new patients
Baptist Health Deaconess Medical Group Inc Otolaryngology Current Accepting new patients
Ohio County Hospital Corporation CurrentSince Apr 18, 2022 Accepting new patients
Norton Hospitals, Inc CurrentSince Nov 9, 2022 Accepting new patients
Jackson County Schneck Memorial Hospital CurrentSince Nov 1, 2025 Accepting new patients
Southern Illinois Medical Services, NFP CurrentSince Mar 1, 2022 Accepting new patients
Ohio County Hospital Corporation CurrentSince Apr 18, 2022 Accepting new patients
Baptist Health Deaconess Medical Group Inc CurrentSince Jan 6, 2022 Accepting new patients
Seymour Indiana Pathologists, Inc Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Norton Hospitals, Inc Past Accepting new patients

Locations

2601 W Main St
Carbondale, IL 62901
Phone (618) 351-7300

7752 Solution Ctr
Chicago, IL 60677

2920 S McIntire Dr
Ste 350
Bloomington, IN 47403
Phone (812) 332-2226

727 W 2nd St
Bloomington, IN 47403
Phone (812) 353-3450

250 N Shadeland Ave
Indianapolis, IN 46219
Phone (317) 948-9174

200 S Walnut St
Seymour, IN 47274
Phone (812) 522-2349

411 W Tipton St
Seymour, IN 47274
Phone (317) 888-3505

1211 Old Main St
Hartford, KY 42347
Phone (270) 298-3806

1215 Old Main St
Hartford, KY 42347
Phone (270) 298-5401

200 E Chestnut St
Louisville, KY 40202
Phone (502) 446-8000

315 E Broadway
Louisville, KY 40202
Phone (502) 272-5331

315 E Broadway
Fl 4
Louisville, KY 40202
Phone (502) 272-5165

401 E Chestnut St
Unit 170
Louisville, KY 40202
Phone (502) 588-4271

401 E Chestnut St
Unit 710
Louisville, KY 40202
Phone 50258383031332

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

676 S Floyd St
Louisville, KY 40202
Phone (502) 629-2500

800 Hospital Dr
Fl 2
Madisonville, KY 42431
Phone (270) 326-3900

800 Hospital Dr
Fl 3
Madisonville, KY 42431
Phone (270) 326-4710

Interoperability endpoints

  • Direct secure messaging: ptennant1@iuhealth.org
  • Direct secure messaging: ptennant44953@direct.nortonhealthcare.org
  • Direct secure messaging: ptennant58996@sih.direct-ci.com

Organizations & group practices 18

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.

View all 18

Hospital & facility affiliations 18

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

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1206662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739145600000",
    "number": "1245402353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 776347",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606776347",
            "fax_number": "502-272-5339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "676 S FLOYD ST",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402021840",
            "telephone_number": "502-629-2500",
            "fax_number": "502-629-4445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TENNANT",
        "first_name": "PAUL",
        "middle_name": "ALBERT",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-03-28",
        "last_updated": "2025-02-10",
        "certification_date": "2025-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "KY",
            "license": "47338",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100136930",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201231030",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ptennant58996@sih.direct-ci.com",
            "affiliation": "N",
            "address_1": "2601 W Main St",
            "city": "Carbondale",
            "state": "IL",
            "country_code": "US",
            "postal_code": "629011031",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ptennant58996@sih.direct-ci.com",
            "affiliation": "N",
            "address_1": "2601 W Main St",
            "city": "Carbondale",
            "state": "IL",
            "country_code": "US",
            "postal_code": "629011031",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "PTENNANT1@IUHEALTH.ORG",
            "affiliation": "N",
            "address_1": "2920 S McIntire Dr",
            "city": "Bloomington",
            "state": "IN",
            "country_code": "US",
            "postal_code": "474034221",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ptennant44953@direct.nortonhealthcare.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "676 S Floyd St",
            "city": "Louisville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "402021840",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.