Active NPI
Angela L Mahan, MD
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Louisville, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- License
- 44595
- Practice address
- 4003 Kresge Way Ste 224
Louisville, KY 40207 - Phone
- (502) 895-2295
- Fax
- (502) 895-2296
- NPI assigned
- Jan 30, 2007
- Last updated
- Dec 8, 2020
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | 44595 | KY | Primary |
Addresses
Primary practice location
4003 Kresge Way Ste 224
Louisville, KY 40207
Mailing address
2700 Stanley Gault Pkwy Ste 129
Louisville, KY 40223-5176
Phone (502) 253-4900
Other practice location 1
740 South Limestone Room A301
Lexington, KY 40536
Phone (859) 323-6494
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100243450 | Medicaid | KY |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | amahan24753@bhkydirect.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY, IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Thoracic Surgery
- Education
- University of Louisville School of Medicine, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Baptist Health Medical Group Inc
Practice addresses (Care Compare)
1373 E State Rd
Madison, IN 47250-7328
Phone (812) 801-0810
1850 State St
New Albany, IN 47150-4990
Phone (812) 949-5550
1919 State St
Suite 310
New Albany, IN 47150-6806
Phone (812) 542-4604
521 Robinbrooke Blvd
Elizabethtown, KY 42701-5904
Phone (270) 706-1535
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.29 of 100
- Quality
- 87.32
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Upper gastrointestinal (GI) endoscopy for acid reflux | 49 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 44595 | KY | MD | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baptist Health Medical Group Inc | Current | Accepting new patients | |
| Kentucky Medical Services Foundation, Inc | Current | Accepting new patients | |
| Baptist Health Medical Group Inc | Current | Accepting new patients | |
| Baptist Health Medical Group Inc | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Current | Accepting new patients |
| Baptist Health Medical Group Inc | Current | Accepting new patients | |
| Baptist Health Medical Group Inc | Current | Accepting new patients | |
| Baptist Healthcare System Inc. | Past | Accepting new patients | |
| University of Kentucky | Past | Accepting new patients |
Locations
1373 N State Road 62
Madison, IN 47250
Phone (812) 801-0196
2125 State St
Ste 3
New Albany, IN 47150
Phone (812) 949-5575
521 Robinbrooke Blvd
Elizabethtown, KY 42701
Phone (270) 706-1535
2400 Greatstone Pt
Lexington, KY 40504
Phone (859) 257-9800
2700 Stanley Gault Pkwy
Ste 129
Louisville, KY 40223
Phone (502) 253-4900
3900 Kresge Way
Ste 41
Louisville, KY 40207
Phone (502) 896-1313
4003 Kresge Way
Ste 224
Louisville, KY 40207
Phone (502) 894-0064
2603 Kentucky Ave
Ste 304
Paducah, KY 42003
Phone (270) 415-4800
Interoperability endpoints
- amahan24753@bhkydirect.com
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Medicine Physician
- Paducah, KY
- NPI 1922401611
-
dba Dawson Springs Rural Health Clinic
- Rural Health Clinic/Center
- Dawson Springs, KY
- NPI 1982178216
-
- Internal Medicine Physician
- Lexington, KY
- NPI 1326091448
-
- Internal Medicine Physician
- Elizabethtown, KY
- NPI 1093338527
-
- Internal Medicine Physician
- Louisville, KY
- NPI 1780961300
Thoracic Surgery (Cardiothoracic Vascular Surgery)
-
dba Baptist Health Louisville
- General Acute Care Hospital
- Louisville, KY
- NPI 1265539498
-
- Diagnostic Radiology Physician
- Lexington, KY
- NPI 1770771974
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Baptist Health Hardin
- General Acute Care Hospital
- Elizabethtown, KY
- NPI 1689282147
-
dba Baptist Health Louisville
- General Acute Care Hospital
- Louisville, KY
- NPI 1265539498
-
dba Baptist Health La Grange
- General Acute Care Hospital
- La Grange, KY
- NPI 1306925540
-
dba Baptist Health Floyd
- General Acute Care Hospital
- New Albany, IN
- NPI 1497798847
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170115200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1607385600000",
"number": "1275670556",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2700 STANLEY GAULT PKWY STE 129",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402235176",
"telephone_number": "502-253-4900",
"fax_number": "502-489-5751"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4003 KRESGE WAY STE 224",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "40207",
"telephone_number": "502-895-2295",
"fax_number": "502-895-2296"
}
],
"practiceLocations": [
{
"address_1": "740 South Limestone Room A301",
"address_purpose": "LOCATION",
"city": "Lexington",
"state": "KY",
"postal_code": "40536",
"country_code": "US",
"telephone_number": "859-323-6494",
"fax_number": "859-257-4682",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MAHAN",
"first_name": "ANGELA",
"middle_name": "L",
"name_prefix": "Mrs.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-30",
"last_updated": "2020-12-08",
"certification_date": "2020-12-08",
"status": "A"
},
"taxonomies": [
{
"code": "208G00000X",
"taxonomy_group": "",
"desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
"state": "KY",
"license": "44595",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100243450",
"state": "KY"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "amahan24753@bhkydirect.com",
"affiliation": "N",
"address_1": "2125 State St Ste 3",
"city": "New Albany",
"state": "IN",
"country_code": "US",
"postal_code": "471504972",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Dec 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.