Individual provider Active NPI

Thomas Damhoff, MD

  • Emergency Medicine Physician
  • Louisville, KY
National Provider Identifier
1285028225
Registry record updated Dec 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
51363 Issued in KY
Practice address
530 S Jackson St
Uofl Emergency Residency Program
Louisville, KY 40202
Phone
(502) 852-1273
Fax
(502) 852-0066
NPI assigned
Mar 27, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X TP637 KY
Student in an Organized Health Care Education/Training Program 390200000X
Emergency Medicine Physician 207P00000X 51363 KY Primary

Addresses

Primary practice location

530 S Jackson St
Uofl Emergency Residency Program
Louisville, KY 40202

Mailing address

2345 Ash Run Lane
La Grange, KY 40031

Other practice location 1

1025 New Moody Ln
LA Grange, KY 40031-9154
Phone (502) 225-5388

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address tdomhoff101592@bhkydirect.com

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180806002897 KY Practitioner - Emergency Medicine 4486934759 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of Cincinnati College of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baptist Health Medical Group IncGroup PAC ID 5597867184, 2,431 clinicians

Practice addresses (Care Compare)

11701 Bluegrass Pkwy
Suite 100
Louisville, KY 40299-2302
Phone (502) 928-4100

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
5163KYMDChiropractor
51363KYMDEmergency Medicine Physician
TP637KYMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Health Medical Group Inc Emergency Medicine CurrentSince Jul 2, 2019 Accepting new patients
Southeastern Emergency Physicians LLC Emergency Medicine CurrentSince Jun 28, 2018 Accepting new patients
Baptist Health Medical Group Inc CurrentSince Jul 2, 2019 Accepting new patients
Concord Company of Tennessee PLLC Emergency Medicine CurrentSince Apr 14, 2024 Accepting new patients

Locations

309 11th St
Carrollton, KY 41008
Phone (502) 732-3241

1 Trillium Way
Corbin, KY 40701
Phone (606) 523-8521

1025 New Moody Ln
Lagrange, KY 40031
Phone (502) 222-3335

910 Wallace Ave
Leitchfield, KY 42754
Phone (270) 259-3035

3900 Kresge Way
Ste 41
Louisville, KY 40207
Phone (502) 896-1313

11701 Bluegrass Pkwy
#100
Louisville, KY 40299
Phone (502) 928-4100

727 Hospital Dr
Shelbyville, KY 40065
Phone (502) 633-2345

Organizations & group practices 4

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 1

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

NPI Registry JSON

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

{
    "created_epoch": "1427414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606953600000",
    "number": "1285028225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2345 ASH RUN LANE",
            "city": "LA GRANGE",
            "state": "KY",
            "postal_code": "40031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 S JACKSON ST",
            "address_2": "UOFL EMERGENCY RESIDENCY PROGRAM",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "40202",
            "telephone_number": "502-852-1273",
            "fax_number": "502-852-0066"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1025 New Moody Ln",
            "address_purpose": "LOCATION",
            "city": "LA Grange",
            "state": "KY",
            "postal_code": "400319154",
            "country_code": "US",
            "telephone_number": "502-225-5388",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAMHOFF",
        "first_name": "THOMAS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-03-27",
        "last_updated": "2020-12-03",
        "certification_date": "2020-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "KY",
            "license": "TP637",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "KY",
            "license": "51363",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tdomhoff101592@bhkydirect.com",
            "affiliation": "N",
            "address_1": "1025 New Moody Ln",
            "city": "LA Grange",
            "state": "KY",
            "country_code": "US",
            "postal_code": "400319154",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.