Individual provider Active NPI

Michael E Gilbert, PA-C

  • Physician Assistant
  • Louisville, KY
National Provider Identifier
1265438550
Registry record updated Sep 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA730 Issued in KY
Practice address
3615 Newburg Rd
Louisville, KY 40218-3368
Phone
(502) 909-0772
Fax
(855) 859-0123
NPI assigned
Jun 22, 2005
Last updated
Sep 30, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA730 KY Primary

Addresses

Primary practice location

3615 Newburg Rd
Louisville, KY 40218-3368

Mailing address

3615 Newburg Rd
Louisville, KY 40218-3368
Phone (502) 909-0772

Other practice location 1

10100 Linn Station Rd
Louisville, KY 40223-3861
Phone (502) 909-0772

Other practice location 2

300 S 13th St
Louisville, KY 40203-1778
Phone (502) 583-1011

Other practice location 3

230 Fountain Ct Ste 140
Lexington, KY 40509-1896
Phone (502) 909-0772

Other identifiers 1

IdentifierTypeStateIssuer
7100139730MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100712000574 KY Practitioner - Physician Assistant 5193857092 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Aptiva HealthGroup PAC ID 0547595316, 36 clinicians

Practice addresses (Care Compare)

300 S 13TH St
Unit 105
Louisville, KY 40203-1778
Phone (502) 583-1011

3611 Newburg Rd
Louisville, KY 40218-3368
Phone (502) 909-0772

3615 Newburg Rd
Louisville, KY 40218-3368
Phone (502) 909-0772

529 Westport Rd
Suite 2
Elizabethtown, KY 42701-2923
Phone (502) 909-0772

737 N Hwy 31E Byp
Suite 2
Mt Washington, KY 40047-7548
Phone (502) 909-0772

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Aptiva Health CurrentSince Aug 1, 2021 Accepting new patients
Community Medical Associates, Inc. CurrentSince Jun 1, 2012 Accepting new patients
Aptiva Health Physician Assistant CurrentSince Aug 1, 2021 Accepting new patients
Community Medical Associates, Inc. CurrentSince Jun 1, 2012 Accepting new patients
Aptiva Health Past Accepting new patients

Locations

529 Westport Rd
Ste 2
Elizabethtown, KY 42701

2093 Medical Arts Dr
Hebron, KY 41048
Phone (859) 442-6600

2093 Medical Arts Dr
Ste 101A
Hebron, KY 41048

230 Fountain Ct
Ste 140
Lexington, KY 40509
Phone (859) 592-1008

230 Fountain Ct
Ste 180
Lexington, KY 40509
Phone (859) 276-5008

230 Fountain Ct
Ste 180B
Lexington, KY 40509

230 Fountain Ct
Ste 1B
Lexington, KY 40509

10100 Linn Station Rd
Ste 1A
Louisville, KY 40223
Phone 5029090772 ext. 85585

300 S 13th St
Louisville, KY 40203
Phone (502) 583-1011

300 S 13th St
Unit 101A
Louisville, KY 40203

3611 Newburg Rd
Louisville, KY 40218

3611 Newburg Rd
Ste 101
Louisville, KY 40218

3611 Newburg Rd
Ste 101A
Louisville, KY 40218

3615 Newburg Rd
Louisville, KY 40218
Phone (502) 583-1011

3615 Newburg Rd
Ste 101
Louisville, KY 40218

3615 Newburg Rd
Ste 101A
Louisville, KY 40218

401 N English Station Rd
Louisville, KY 40223

825 Barret Ave
Louisville, KY 40204
Phone (502) 272-5165

9300 Stonestreet Rd
Ste 200
Louisville, KY 40272
Phone (502) 935-8061

Interoperability endpoints

  • Direct secure messaging: mgilbert40905@direct.nortonhealthcare.org

Organizations & group practices 6

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 15

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

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1119398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632960000000",
    "number": "1265438550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3615 NEWBURG RD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402183368",
            "telephone_number": "502-909-0772",
            "fax_number": "855-859-0123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3615 NEWBURG RD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402183368",
            "telephone_number": "502-909-0772",
            "fax_number": "855-859-0123"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10100 Linn Station Rd",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402233861",
            "country_code": "US",
            "telephone_number": "502-909-0772",
            "fax_number": "855-859-0123",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "300 S 13th St",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402031778",
            "country_code": "US",
            "telephone_number": "502-583-1011",
            "fax_number": "855-859-0123",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "230 Fountain Ct Ste 140",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "KY",
            "postal_code": "405091896",
            "country_code": "US",
            "telephone_number": "502-909-0772",
            "fax_number": "855-859-0123",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GILBERT",
        "first_name": "MICHAEL",
        "middle_name": "E",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-22",
        "last_updated": "2021-09-30",
        "certification_date": "2021-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KY",
            "license": "PA730",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100139730",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.