Individual provider Active NPI

Radhika Nair

  • Specialist
  • Louisville, KY
National Provider Identifier
1285119339
Registry record updated Sep 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
KY36217 Issued in KY
Practice address
3710 Chamberlain LN Ste a
Louisville, KY 40241-2002
Phone
(502) 299-4004
Fax
(502) 933-5559
NPI assigned
Sep 25, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X KY36217 KY Primary

Addresses

Primary practice location

3710 Chamberlain LN Ste a
Louisville, KY 40241-2002

Mailing address

PO Box 24261
Louisville, KY 40224-0261
Phone (502) 995-4004

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
KY36217KYMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Kentuckiana Pain Specialists PSC Specialist CurrentSince Sep 1, 2019 Accepting new patients
Kentuckiana Pain Specialists PSC CurrentSince Mar 28, 2021 Accepting new patients

Locations

3710 Chamberlain Ln
Ste A
Louisville, KY 40241
Phone (502) 299-4004

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1537833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537833600000",
    "number": "1285119339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 24261",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402240261",
            "telephone_number": "502-995-4004",
            "fax_number": "502-933-5559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3710 CHAMBERLAIN LN STE A",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402412002",
            "telephone_number": "502-299-4004",
            "fax_number": "502-933-5559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAIR",
        "first_name": "RADHIKA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-25",
        "last_updated": "2018-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "KY",
            "license": "KY36217",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Sep 25, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.