NPIMap

Individual provider Active NPI

Goetz Kloecker, MD

  • Hematology & Oncology Physician
  • Louisville, KY
National Provider Identifier
1306827126
Registry record updated Feb 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
33111 Issued in KY
Practice address
529 S Jackson St
Louisville, KY 40202-3229
Phone
(502) 562-4370
Fax
(502) 562-4373
NPI assigned
Nov 9, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X 33111 KY Primary

Addresses

Primary practice location

529 S Jackson St
Louisville, KY 40202-3229

Mailing address

501 E Broadway
Louisville, KY 40202-2043
Phone (502) 589-4856

Other practice location 1

20 Medical Village Dr
Edgewood, KY 41017-5401
Phone (859) 301-4000

Other identifiers 1

IdentifierTypeStateIssuer
64331119MedicaidKY

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
I20040407001328 KY Practitioner - Medical OncologyPractitioner - Internal MedicinePractitioner - Hematology/Oncology 9830182476 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Medical OncologyAlso: Hematology/Oncology, Internal Medicine
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

529 S Jackson St
Suite 416
Louisville, KY 40202-3229
Phone (502) 852-7093

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
78.96 of 100Reported as group
Quality
56.12
Promoting interoperability
100
Improvement activities
40
Cost
73.73

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
33111KYMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Elizabeth Medical Center, Inc CurrentSince Mar 30, 2020 Accepting new patients
University of Louisville Physicians, Inc CurrentSince Apr 3, 2012 Accepting new patients
St Elizabeth Medical Center, Inc CurrentSince Mar 30, 2020 Accepting new patients
University of Louisville Physicians, Inc. CurrentSince Apr 3, 2012 Accepting new patients
University of Louisville Physicians, Inc. Current Accepting new patients
University Medical Associates Past Accepting new patients
Community Medical Associates, Inc. Past Accepting new patients
University of Louisville Physicians, Inc. Past Accepting new patients

Locations

7752 Solution Ctr
Chicago, IL 60677

1700 Old Lebanon Rd
Campbellsvlle, KY 42718
Phone (270) 465-3561

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

20 Medical Village Dr
Edgewood, KY 41017
Phone (859) 344-1600

529 S Jackson St
Louisville, KY 40202
Phone (502) 562-4370

571 S Floyd St
Louisville, KY 40202
Phone (502) 561-2700

529 S Jackson St
Fl 2
Louisville, KY 40202
Phone (502) 561-7423

201 Abraham Flexner Way
Ste 1001
Louisville, KY 40202
Phone (502) 589-6788

530 S Jackson St
Louisville, KY 40202
Phone (502) 562-3000

401 E Chestnut St
Unit 610
Louisville, KY 40202
Phone (502) 588-4450

529 S Jackson St
#416
Louisville, KY 40202
Phone (502) 852-7093

238 Barnes Rd
Williamstown, KY 41097
Phone (859) 292-4000

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 and National Provider Directory roles.

Hospital & facility affiliations 23

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

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1131494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580688000000",
    "number": "1306827126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 E BROADWAY",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402022043",
            "telephone_number": "502-589-4856",
            "fax_number": "502-589-5093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "529 S JACKSON ST",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402023229",
            "telephone_number": "502-562-4370",
            "fax_number": "502-562-4373"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20 Medical Village Dr",
            "address_purpose": "LOCATION",
            "city": "Edgewood",
            "state": "KY",
            "postal_code": "410175401",
            "country_code": "US",
            "telephone_number": "859-301-4000",
            "fax_number": "859-301-4001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KLOECKER",
        "first_name": "GOETZ",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-09",
        "last_updated": "2020-02-03",
        "certification_date": "2020-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "KY",
            "license": "33111",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64331119",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.