Individual provider Active NPI

Kevin Alan Marcus

  • Certified Registered Nurse Anesthetist
  • Louisville, KY
National Provider Identifier
1265194252
Registry record updated Feb 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
3016653 Issued in KY
Practice address
3920 Dutchmans LN
Louisville, KY 40207-4702
Phone
(502) 259-6710
Fax
(502) 259-6704
NPI assigned
Oct 7, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 3016653 KY Primary

Addresses

Primary practice location

3920 Dutchmans LN
Louisville, KY 40207-4702

Mailing address

PO Box 909
Louisville, KY 40201-0909
Phone (502) 588-0328

Other identifiers 2

IdentifierTypeStateIssuer
7100776840MedicaidKY
300070633MedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, IN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220205000043 KY Practitioner - Certified Registered Nurse Anesthetist (Crna) 6800289323 Reassigns benefits to 4 organizations
I20230131002225 IN Practitioner - Certified Registered Nurse Anesthetist (Crna) 6800289323 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anesthesiology Consultants Enterprises PLLCGroup PAC ID 9830268671, 124 clinicians
University of Louisville Physicians IncGroup PAC ID 3476725599, shared by 5 NPIs, 1,438 clinicians
Professional Anesthesia Services of Kentucky PLLCGroup PAC ID 0244590305, 351 clinicians

Practice addresses (Care Compare)

1 Audubon Plaza Dr
Louisville, KY 40217-1318
Phone (859) 268-1030

1305 Wall St
Ulp Eye Specialists
Jeffersonville, IN 47130-3853
Phone (502) 852-7445

200 E Chestnut St
Louisville, KY 40202-1831
Phone (502) 629-8000

3920 Dutchmans LN
Louisville, KY 40207-4702
Phone (502) 852-5341

4960 Norton Healthcare Blvd
Louisville, KY 40241-2831
Phone (502) 446-8000

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
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
3016653KYMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
University of Louisville Physicians, Inc Current Accepting new patients
Professional Anesthesia Services of Kentucky PLLC Nurse Anesthetist, Certified Registered CurrentSince Oct 1, 2024 Accepting new patients
University of Louisville Physicians, Inc. CurrentSince Jan 1, 2023 Accepting new patients
University of Louisville Physicians, Inc. CurrentSince Jan 1, 2023 Accepting new patients
University of Louisville Physicians, Inc. Current Accepting new patients
Commonwealth Anesthesia, PSC Nurse Anesthetist, Certified Registered CurrentSince Oct 30, 2021 Accepting new patients
University of Louisville Physicians, Inc. CurrentSince Jan 1, 2023 Accepting new patients

Locations

7752 Solution Ctr
Chicago, IL 60677

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

1305 Wall St
Jeffersonvlle, IN 47130
Phone (812) 288-7479

200 Missouri Ave
Jeffersonvlle, IN 47130
Phone (812) 920-0055

425 Lewis Hargett Cir
Lexington, KY 40503
Phone (606) 679-9322

310 S Limestone
Lexington, KY 40508
Phone (606) 252-6612

150 N Eagle Creek Dr
Lexington, KY 40509
Phone (859) 267-9773

1 Audubon Plaza Dr
Louisville, KY 40217
Phone (502) 634-6767

3920 Dutchmans Ln
Louisville, KY 40207
Phone (502) 259-6000

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

4960 Norton Healthcare Blvd
Louisville, KY 40241
Phone (502) 446-8000

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

989 Medical Park Dr
Maysville, KY 41056
Phone (606) 759-3112

1903 W Hebron Ln
Shepherdsvlle, KY 40165
Phone (502) 587-4421

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 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": "1633564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676246400000",
    "number": "1265194252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 909",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402010909",
            "telephone_number": "502-588-0328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3920 DUTCHMANS LN",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402074702",
            "telephone_number": "502-259-6710",
            "fax_number": "502-259-6704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARCUS",
        "first_name": "KEVIN",
        "middle_name": "ALAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-10-07",
        "last_updated": "2023-02-13",
        "certification_date": "2023-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "KY",
            "license": "3016653",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100776840",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300070633",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.