Individual provider Active NPI

Emmanuel Abraham Nidhiry, M.D.

  • Medical Oncology Physician
  • Louisville, KY
National Provider Identifier
1255383162
Registry record updated Mar 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Oncology PhysicianTaxonomy code 207RX0202X
License
41532 Issued in KY
Practice address
4955 Norton Healthcare Blvd
Louisville, KY 40241-2832
Phone
(502) 394-6350
Fax
(502) 394-6351
NPI assigned
May 17, 2006
Last updated
Mar 18, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X 41532 KY
Hematology & Oncology Physician 207RH0003X D0057545 MD
Medical Oncology Physician 207RX0202X 41532 KY Primary

Addresses

Primary practice location

4955 Norton Healthcare Blvd
Louisville, KY 40241-2832

Mailing address

PO Box 776347 Suite 100
Chicago, IL 60677-8500
Phone (502) 272-5062

Other practice location 1

1373 E State Road 62 # Level1
Madison, IN 47250-7328
Phone (812) 801-0603

Other practice location 2

301 Gordon Gutmann Blvd Ste 301
Jeffersonville, IN 47130-3767
Phone (812) 288-9969

Other practice location 3

1263 Hospital Dr NW Ste 110
Corydon, IN 47112-2173
Phone (812) 734-0912

Other practice location 4

1473 N Gardner St
Scottsburg, IN 47170-7751
Phone (812) 752-8592

Other practice location 5

850 S 28th St Ste 104
Louisville, KY 40211-1223
Phone (502) 629-2500

Other practice location 6

8033 Dixie Hwy
Louisville, KY 40258-1344
Phone (502) 937-3155

Other practice location 7

131 Stonecrest Rd Ste 100
Shelbyville, KY 40065-8163
Phone (502) 633-7093

Other practice location 8

3991 Dutchmans Ln Ste 405
Louisville, KY 40207-4723
Phone (502) 899-3366

Other practice location 9

2355 Poplar Level Rd Ste 405
Louisville, KY 40217-1389
Phone (502) 636-7845

Other practice location 10

676 S Floyd St Ste 200
Louisville, KY 40202-1840
Phone (502) 629-2500

Other identifiers 10

IdentifierTypeStateIssuer
7100034410MedicaidKY
000000547932OtherKYANTHEM BC/CS
000000547932OtherKYANTHEM
207RH0003XOtherTRICARE
699052500MedicaidMD
87091OtherKYCOVENTRYCARES OF KENTUCKY
C24052OtherKYCUMBERLAND HEALTHCARE
300086157MedicaidIN
000000547932OtherANTHEM BCBS
207RH0003XOtherUNITED HEALTHCARE

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
I20080430000156 KY Practitioner - Hematology/Oncology 0840186110 Reassigns benefits to 3 organizations
I20240226001028 IN Practitioner - Medical OncologyPractitioner - Hematology 0840186110 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Medical OncologyAlso: Hematology
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Norton Hospitals, IncGroup PAC ID 9830001528, 137 clinicians

Practice addresses (Care Compare)

Jeffersonville, IN 47130
Phone (812) 288-9969

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

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0057545MDMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Norton Hospitals Inc CurrentSince Mar 1, 2024 Accepting new patients
Norton - Kings Daughters Health Inc CurrentSince Mar 12, 2024 Accepting new patients
Commonwealth Hematology Oncology PSC Hematology & Oncology CurrentSince Apr 17, 2008 Accepting new patients
Ephraim McDowell Regional Medical Center Incorporated Current Accepting new patients
Ephraim McDowell Regional Medical Center, Incorporated Hematology & Oncology CurrentSince Jan 1, 2013 Accepting new patients
Norton - Kings Daughters Health Inc CurrentSince Mar 12, 2024 Accepting new patients
Norton Hospitals, Inc CurrentSince Mar 1, 2024 Accepting new patients
Ephraim McDowell Regional Medical Center, Incorporated CurrentSince Jan 1, 2013 Accepting new patients
Ctca Physicans Group of Oklahoma, Inc Past Accepting new patients
Mep Health, LLC Past Accepting new patients
Ephraim McDowell Health Resource, Inc. Hematology & Oncology Past Accepting new patients
Inpatient Specialists PA Past Accepting new patients

Locations

1263 Hospital Dr NW
Ste 110
Corydon, IN 47112
Phone (812) 734-0912

245 Atwood St
Corydon, IN 47112
Phone (812) 734-0912

301 Gordon Gutmann Blvd
Ste 301
Jeffersonville, IN 47130
Phone (812) 288-9969

1373 E State Road 62
#1
Madison, IN 47250
Phone (812) 801-0828

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

1473 N Gardner St
Scottsburg, IN 47170
Phone (812) 752-0844

217 S 3rd St
Danville, KY 40422
Phone (859) 239-1000

520 Techwood Dr N
Ste 100
Danville, KY 40422
Phone (859) 236-2203

110 Diagnostic Dr
Ste B
Frankfort, KY 40601
Phone (502) 227-3383

165 London Mountain View Dr
London, KY 40741
Phone (606) 330-7900

165 London Mountain View Dr
#D
London, KY 40741
Phone (606) 330-7900

2355 Poplar Level Rd
Ste 405
Louisville, KY 40217
Phone (502) 636-7845

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

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

3991 Dutchmans Ln
Ste 405
Louisville, KY 40207
Phone (502) 899-3366

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

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

676 S Floyd St
Ste 200
Louisville, KY 40202
Phone (502) 629-2500

8033 Dixie Hwy
Louisville, KY 40258
Phone (502) 937-3154

850 S 28th St
Ste 104
Louisville, KY 40211
Phone (502) 394-5678

131 Stonecrest Rd
Ste 100
Shelbyville, KY 40065
Phone (502) 633-7093

95 Bogle Office Park Dr
Somerset, KY 42503
Phone (606) 677-1451

5130 Parkway Plaza Blvd
Charlotte, NC 28217

Interoperability endpoints

  • Direct secure messaging: enidhiry@ccc.direct.varian.com
  • Direct secure messaging: enidhiry283838@direct.nortonhealthcare.org
  • Direct secure messaging: enidhiry289215@direct.stlukeshealth.org

Organizations & group practices 12

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 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": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742256000000",
    "number": "1255383162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 776347 SUITE 100",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606778500",
            "telephone_number": "502-272-5062",
            "fax_number": "859-238-2206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4955 NORTON HEALTHCARE BLVD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402412832",
            "telephone_number": "502-394-6350",
            "fax_number": "502-394-6351"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1373 E State Road 62 # Level1",
            "address_purpose": "LOCATION",
            "city": "Madison",
            "state": "IN",
            "postal_code": "472507328",
            "country_code": "US",
            "telephone_number": "812-801-0603",
            "fax_number": "812-801-0589",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "301 Gordon Gutmann Blvd Ste 301",
            "address_purpose": "LOCATION",
            "city": "Jeffersonville",
            "state": "IN",
            "postal_code": "471303767",
            "country_code": "US",
            "telephone_number": "812-288-9969",
            "fax_number": "502-394-1987",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1263 Hospital Dr NW Ste 110",
            "address_purpose": "LOCATION",
            "city": "Corydon",
            "state": "IN",
            "postal_code": "471122173",
            "country_code": "US",
            "telephone_number": "812-734-0912",
            "fax_number": "812-738-8715",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1473 N Gardner St",
            "address_purpose": "LOCATION",
            "city": "Scottsburg",
            "state": "IN",
            "postal_code": "471707751",
            "country_code": "US",
            "telephone_number": "812-752-8592",
            "fax_number": "812-752-8593",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "850 S 28th St Ste 104",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402111223",
            "country_code": "US",
            "telephone_number": "502-629-2500",
            "fax_number": "502-629-2055",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8033 Dixie Hwy",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402581344",
            "country_code": "US",
            "telephone_number": "502-937-3155",
            "fax_number": "502-935-0743",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "131 Stonecrest Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Shelbyville",
            "state": "KY",
            "postal_code": "400658163",
            "country_code": "US",
            "telephone_number": "502-633-7093",
            "fax_number": "502-633-7094",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3991 Dutchmans Ln Ste 405",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402074723",
            "country_code": "US",
            "telephone_number": "502-899-3366",
            "fax_number": "502-899-6686",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2355 Poplar Level Rd Ste 405",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402171389",
            "country_code": "US",
            "telephone_number": "502-636-7845",
            "fax_number": "502-636-8045",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "676 S Floyd St Ste 200",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402021840",
            "country_code": "US",
            "telephone_number": "502-629-2500",
            "fax_number": "502-629-4445",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NIDHIRY",
        "first_name": "EMMANUEL",
        "middle_name": "ABRAHAM",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-17",
        "last_updated": "2025-03-18",
        "certification_date": "2025-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "KY",
            "license": "41532",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "MD",
            "license": "D0057545",
            "primary": false
        },
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "KY",
            "license": "41532",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100034410",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BC/CS",
            "identifier": "000000547932",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000547932",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "207RH0003X",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "699052500",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COVENTRYCARES OF KENTUCKY",
            "identifier": "87091",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CUMBERLAND HEALTHCARE",
            "identifier": "C24052",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300086157",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "000000547932",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "207RH0003X",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.