Louisville Internal Medicine & Pediatrics, LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

30532 Issued in KY

Legal business name

LOUISVILLE INTERNAL MEDICINE & PEDIATRICS, LLC

Practice address

3101 Breckenridge LN
#4E
Louisville, KY 40220-2742

Phone

(502) 454-5252

Fax

(502) 454-5353

NPI assigned

Feb 23, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Clara Ann Pallares, M.D.NPI 1124092366

Title

President

Phone

(502) 454-5252

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Clara Ann Pallares, MD

  • Internal Medicine Physician
  • Louisville, KY
  • NPI 1124092366
  Medicare reassignment Care Compare group NPD Authorized official
• Brittany Kirchner

  • Family Nurse Practitioner
  • Louisville, KY
  • NPI 1831636406
  Medicare reassignment Care Compare group NPD
• Deanna Marie Hanna, APRN, FNP-C

  • Family Nurse Practitioner
  • Louisville, KY
  • NPI 1487305363
  Medicare reassignment NPD
• Jessica Kremer, APRN

  • Family Nurse Practitioner
  • Louisville, KY
  • NPI 1902369010
  Medicare reassignment NPD
• Lindsey Nicole McPherson, APRN

  • Nurse Practitioner
  • Louisville, KY
  • NPI 1003409202
  Medicare reassignment NPD

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

{
    "created_epoch": "1172188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715904000000",
    "number": "1265567572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3101 BRECKENRIDGE LN",
            "address_2": "#4E",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402202742",
            "telephone_number": "502-454-5252",
            "fax_number": "502-454-5353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3101 BRECKENRIDGE LN",
            "address_2": "#4E",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402202742",
            "telephone_number": "502-454-5252",
            "fax_number": "502-454-5353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOUISVILLE INTERNAL MEDICINE & PEDIATRICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-23",
        "last_updated": "2024-05-17",
        "certification_date": "2024-05-17",
        "status": "A",
        "authorized_official_last_name": "PALLARES",
        "authorized_official_first_name": "CLARA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "502-454-5252",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "KY",
            "license": "30532",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "KY",
            "license": "30532",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "002051P",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Louisville Injury Clinics, Inc
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• Louisville Inpatient Physician Services, PLLC
• Louisville Integrated Care
• Louisville Internal Medicine
• Louisville Jefferson County Metro
• Louisville Jefferson County Metro Government
• Louisville Jefferson County Metro Government (Newburg Health Clinic)
• Louisville Jefferson County Metro Government (Jefferson County Immunization Int Project)
• Louisville Jefferson County Metro Government (Louisville Metro EMS)

• Internal Medicine Physician in Louisville, KY
• Providers in Louisville, KY by specialty
• Internal Medicine Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.