Allen Gregory Deam, MD

Primary specialty

Clinical Cardiac Electrophysiology PhysicianTaxonomy code 207RC0001X

License

30384 Issued in KY

Practice address

3950 Kresge Way Ste 303
Louisville, KY 40207-4637

Phone

(502) 928-0900

Fax

(502) 928-0901

NPI assigned

Jul 28, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Electronic endpoints 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://epicproxy.et1193.epichosted.com/FHIRProxy/ULP/api/FHIR/R4
• Direct secure messaging: adeam19189@bhkydirect.com

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.

• University of Louisville Physicians, Inc.

  • Internal Medicine Physician
  • Louisville, KY
  • NPI 1366722316
  Medicare reassignment NPD
• Baptist Health Medical Group Inc

  • Rural Health Clinic/Center
  • Dawson Springs, KY
  • NPI 1982178216
  Medicare reassignment
• University of Louisville Physicians

  • Pediatrics Physician
  • Louisville, KY
  • NPI 1073879797
  NPD
• Cardiac Care Center of Louisville, PLLC

  • Cardiovascular Disease Physician
  • Louisville, KY
  • NPI 1245449669
  NPD (past)
• Medical Center Cardiologists, PSC

  • Cardiovascular Disease Physician
  • Shepherdsville, KY
  • NPI 1043429962
  NPD (past)
• Medical Center Cardiologists, PSC

  • Cardiovascular Disease Physician
  • Louisville, KY
  • NPI 1841288529
  NPD (past)
• University Medical Associates

  • Internal Medicine Physician
  • Louisville, KY
  • NPI 1417902925
  NPD (past)
• University Medical Services Foundation Inc

  • Health Service Clinic/Center
  • Louisville, KY
  • NPI 1861621740
  NPD (past)

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

{
    "created_epoch": "1122508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606953600000",
    "number": "1285634683",
    "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": "502-489-6613",
            "fax_number": "502-489-5751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3950 KRESGE WAY STE 303",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402074637",
            "telephone_number": "502-928-0900",
            "fax_number": "502-928-0901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEAM",
        "first_name": "ALLEN",
        "middle_name": "GREGORY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-28",
        "last_updated": "2020-12-03",
        "certification_date": "2020-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "KY",
            "license": "30384",
            "primary": true
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "KY",
            "license": "30384",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64303845",
            "state": "KY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "adeam19189@bhkydirect.com",
            "affiliation": "N",
            "address_1": "1919 State St Ste 360",
            "city": "New Albany",
            "state": "IN",
            "country_code": "US",
            "postal_code": "471506801",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Marx Wendel Goncalves De Sa, MD
• Grace Mendonca De Souza, DDS, MSC, PHD
• Natalie Jean De Stefano, RN-BC
• Jennifer Dee Deacon, APRN
• Monica Deadmond
• Brittany Nicole Dean, PHD
• Emily Dean
• James Dean, M. D.
• Lara Michelle Dean, M.D.
• Laura Elizabeth Dean, RD, CSP, LD

• Clinical Cardiac Electrophysiology Physician in Louisville, KY
• Providers in Louisville, KY by specialty
• Clinical Cardiac Electrophysiology Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.