NPIMap

Individual provider Active NPI

Panumart Manatpon, MD

  • Anesthesiology Physician
  • Louisville, KY
National Provider Identifier
1295231801
Registry record updated Aug 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
56432 Issued in KY
Practice address
200 E Chestnut St
Louisville, KY 40202-1831
Phone
(502) 629-2880
NPI assigned
Apr 3, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 56432 KY Primary

Addresses

Primary practice location

200 E Chestnut St
Louisville, KY 40202-1831

Mailing address

888/67 Grand Diamond Petchburi Rd. Ratchethewi
Bangkok, BANGKOK 10400
TH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220825001136 KY Practitioner - Anesthesiology 5799039640 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anesthesiology Consultants Enterprises PLLCGroup PAC ID 9830268671, 124 clinicians
Universal Anesthesia Services LLCGroup PAC ID 9830268341, 58 clinicians

Practice addresses (Care Compare)

1 Audubon Plaza Dr
Louisville, KY 40217-1318
Phone (859) 268-1030

200 E Chestnut St
Louisville, KY 40202-1831
Phone (502) 629-2880

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
56432KYMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Universal Anesthesia Services LLC Anesthesiology CurrentSince Aug 1, 2022 Accepting new patients
Anesthesiology Consultants Enterprises, PLLC Anesthesiology CurrentSince Nov 1, 2025 Accepting new patients
Anesthesia Services of Kentucky, PLLC Anesthesiology Past Accepting new patients

Locations

3423 Solutions Ctr
Chicago, IL 60677

1 Audubon Plaza Dr
Louisville, KY 40217
Phone (502) 634-6767

200 E Chestnut St
Louisville, KY 40202
Phone (502) 446-8000

Organizations & group practices 3

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 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1522713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660089600000",
    "number": "1295231801",
    "addresses": [
        {
            "country_code": "TH",
            "country_name": "Thailand",
            "address_purpose": "MAILING",
            "address_type": "FGN",
            "address_1": "888/67 GRAND DIAMOND PETCHBURI RD. RATCHETHEWI",
            "city": "BANGKOK",
            "state": "BANGKOK",
            "postal_code": "10400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 E CHESTNUT ST",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402021831",
            "telephone_number": "502-629-2880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANATPON",
        "first_name": "PANUMART",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-03",
        "last_updated": "2022-08-10",
        "certification_date": "2022-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "KY",
            "license": "56432",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.