Individual provider Active NPI

Adriana Stone McCubbin, MD

  • Allergy & Immunology Physician
  • Louisville, KY
National Provider Identifier
1316135593
Registry record updated Mar 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
41211 Issued in KY
Practice address
210 E Gray St
Ste 802
Louisville, KY 40202-3904
Phone
(502) 588-2349
Fax
(502) 588-9535
NPI assigned
Oct 12, 2007
Last updated
Mar 26, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 41211 KY
Allergy & Immunology Physician 207K00000X 41211 KY Primary

Addresses

Primary practice location

210 E Gray St
Ste 802
Louisville, KY 40202-3904

Mailing address

PO Box 909
Louisville, KY 40201-0909
Phone (502) 588-2349

Other identifiers 2

IdentifierTypeStateIssuer
201010970MedicaidIN
7100026690MedicaidKY

Other names 1

  • Adriana Stone Gower Former name

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address amccubbin56883@direct.nortonhealthcare.org
FHIR URL https://epicsoap.nortonhealthcare.org/FHIRPRD/api/FHIR/DSTU2/

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
I20080102000177 KY Practitioner - Pediatric MedicinePractitioner - Allergy/Immunology 6608956701 Reassigns benefits to 3 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Community Medical Associates, Inc. Pediatrics CurrentSince Mar 23, 2014 Accepting new patients
Community Medical Associates, Inc. CurrentSince Mar 23, 2014 Accepting new patients
Norton Children's Medical Group, LLC Allergy & Immunology CurrentSince Mar 1, 2020 Accepting new patients
University of Louisville Physicians, Inc. Pediatrics CurrentSince Nov 1, 2014 Accepting new patients
Norton Children's Medical Group, LLC CurrentSince Mar 1, 2020 Accepting new patients
Community Medical Associates, Inc. Current Accepting new patients
Norton Children's Medical Group, LLC Current Accepting new patients
University of Louisville Physicians, Inc. CurrentSince Nov 1, 2014 Accepting new patients
Community Medical Associates, Inc. Pediatrics Past Accepting new patients
Norton Childrens Medical Group, LLC Pediatrics Past Accepting new patients

Locations

7752 Solution Ctr
Chicago, IL 60677

601 S Floyd St
Ste 604
Louisville, KY 40202
Phone (502) 559-1670

411 E Chestnut St
Ste 5A
Louisville, KY 40202

411 E Chestnut St
#5A
Louisville, KY 40202
Phone (502) 585-7450

210 E Gray St
Ste 802
Louisville, KY 40202
Phone (502) 290-7575

411 E Chestnut St
Louisville, KY 40202
Phone (502) 588-2330

825 Barret Ave
Louisville, KY 40204
Phone (502) 272-5165

231 E Chestnut St
Louisville, KY 40202
Phone (502) 852-8500

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

411 E Chestnut St
Fl 5A
Louisville, KY 40202

Interoperability endpoints

  • Direct secure messaging: amccubbin56883@direct.nortonhealthcare.org

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1192147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711411200000",
    "number": "1316135593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 909",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402010909",
            "telephone_number": "502-588-2349",
            "fax_number": "502-588-9535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 E GRAY ST",
            "address_2": "STE 802",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402023904",
            "telephone_number": "502-588-2349",
            "fax_number": "502-588-9535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCUBBIN",
        "first_name": "ADRIANA",
        "middle_name": "STONE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-12",
        "last_updated": "2024-03-26",
        "certification_date": "2024-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "KY",
            "license": "41211",
            "primary": false
        },
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "KY",
            "license": "41211",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201010970",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100026690",
            "state": "KY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "amccubbin56883@direct.nortonhealthcare.org",
            "affiliation": "N",
            "address_1": "210 E Gray St",
            "address_2": "Ste 802",
            "city": "Louisville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "402023904",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicsoap.nortonhealthcare.org/FHIRPRD/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "210 E Gray St",
            "address_2": "Ste 802",
            "city": "Louisville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "402023904",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "ADRIANA",
            "last_name": "GOWER",
            "middle_name": "STONE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.