NPIMap

Individual provider Active NPI

Michael Raymond Norville, DO

  • Internal Medicine Physician
  • La Grange, KY
National Provider Identifier
1316438112
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
04906 Issued in KY
Practice address
1025 New Moody LN
La Grange, KY 40031-9154
Phone
(502) 222-8586
NPI assigned
May 29, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 04906 KY Primary

Addresses

Primary practice location

1025 New Moody LN
La Grange, KY 40031-9154

Mailing address

5200 Commerce Crossings Dr FL 3
Louisville, KY 40229-2182
Phone (502) 253-4924

Other identifiers 1

IdentifierTypeStateIssuer
7100744060MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, IN2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210625001993 KY Practitioner - Internal Medicine 0345641494 Reassigns benefits to 1 organization
I20240813001742 IN Practitioner - Internal Medicine 0345641494 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baptist Health Medical Group IncGroup PAC ID 5597867184, 2,431 clinicians
Clarksville Physician Services PCGroup PAC ID 3476937756, 31 clinicians
Tusculum Physician Services PCGroup PAC ID 7719476415, 35 clinicians

Practice addresses (Care Compare)

1025 New Moody LN
La Grange, KY 40031-9154
Phone (502) 222-3255

1141 Hospital Dr NW
Corydon, IN 47112-2164
Phone (812) 738-4251

1420 Tusculum Blvd
Greeneville, TN 37745-4279
Phone (423) 787-5000

3900 Kresge Way
Louisville, KY 40207-4681

Hospital & facility affiliations

  • Harrison County Hospital Hospital, Corydon, IN, CCN 151331
  • Greeneville Community Hospital Hospital, Greeneville, TN, CCN 440050
  • Baptist Health Lagrange Hospital, La Grange, KY, CCN 180138
  • Norton Hospitals, Inc Hospital, Louisville, KY, CCN 180088
  • Harrison County Hospital Nursing home, CCN 15Z331

Merit-based Incentive Payment System (MIPS)

Final score
94.29 of 100Reported as apm
Quality
87.32
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Health Medical Group Inc CurrentSince Aug 1, 2021 Accepting new patients
Clarksville Physician Services PC Internal Medicine CurrentSince Jul 10, 2024 Accepting new patients
Baptist Medical Associates Inc CurrentSince Aug 1, 2021 Accepting new patients

Locations

1141 Hospital Dr NW
Corydon, IN 47112
Phone (812) 738-7830

1201 S Main St
Crown Point, IN 46307
Phone (219) 738-2100

3500 Franciscan Way
Michigan City, IN 46360
Phone (219) 852-1524

1025 New Moody Ln
Lagrange, KY 40031
Phone (502) 222-3335

3900 Kresge Way
Ste 41
Louisville, KY 40207
Phone (502) 896-1313

5200 Commerce Crossings Dr
Fl 3
Louisville, KY 40229
Phone (502) 253-4924

Organizations & group practices 4

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 20

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

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1527552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1316438112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5200 COMMERCE CROSSINGS DR FL 3",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402292182",
            "telephone_number": "502-253-4924",
            "fax_number": "502-489-5750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1025 NEW MOODY LN",
            "city": "LA GRANGE",
            "state": "KY",
            "postal_code": "400319154",
            "telephone_number": "502-222-8586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NORVILLE",
        "first_name": "MICHAEL",
        "middle_name": "RAYMOND",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-05-29",
        "last_updated": "2023-03-07",
        "certification_date": "2021-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KY",
            "license": "04906",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100744060",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in La Grange, KY

Sources for this page

Verify at the official NPI Registry.