Active NPI
Kevin Alan Marcus
- Certified Registered Nurse Anesthetist
- Louisville, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 3016653
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100776840 | Medicaid | KY | |
| 300070633 | Medicaid | IN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY, IN
Enrollment records 2
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
- University of Louisville Physicians Inc
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 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 3016653 | KY | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Louisville Physicians, Inc | Current | Accepting new patients | |
| Professional Anesthesia Services of Kentucky PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| University of Louisville Physicians, Inc. | Current | Accepting new patients | |
| University of Louisville Physicians, Inc. | Current | Accepting new patients | |
| University of Louisville Physicians, Inc. | Current | Accepting new patients | |
| Commonwealth Anesthesia, PSC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| University of Louisville Physicians, Inc. | Current | 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.
-
- Anesthesiology Physician
- Louisville, KY
- NPI 1992212807
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Louisville, KY
- NPI 1427246198
-
- Anesthesiology Physician
- Lexington, KY
- NPI 1437196300
Nurse Anesthetist, Certified Registered
-
- Internal Medicine Physician
- Louisville, KY
- NPI 1366722316
-
- Cardiovascular Disease Physician
- Louisville, KY
- NPI 1215201637
-
- Diagnostic Radiology Physician
- Louisville, KY
- NPI 1316294127
-
- Anesthesiology Physician
- Louisville, KY
- NPI 1386990232
Hospital & facility affiliations 14
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Louisville, KY
- NPI 1043348808
-
- General Acute Care Hospital
- Louisville, KY
- NPI 1447388335
-
- General Acute Care Hospital
- Louisville, KY
- NPI 1699514463
-
- General Acute Care Hospital
- Louisville, KY
- NPI 1831195908
-
- General Acute Care Hospital
- Louisville, KY
- NPI 1891799227
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.