Individual provider Active NPI

Thomas K Hart, MD

  • Surgery Physician
  • La Grange, KY
National Provider Identifier
1326084773
Registry record updated Aug 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
27769 Issued in KY
Practice address
1031 New Moody LN
Suite 200
La Grange, KY 40031-9189
Phone
(502) 225-9877
NPI assigned
Jun 22, 2006
Last updated
Aug 27, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 27769 KY Primary

Addresses

Primary practice location

1031 New Moody LN
Suite 200
La Grange, KY 40031-9189

Mailing address

PO Box 950248
Louisville, KY 40295-0248
Phone (502) 238-2801

Other identifiers 1

IdentifierTypeStateIssuer
6427769200MedicaidKY

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
I20060417000463 KY Practitioner - General Surgery 7911916192 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
27769KYMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Health Medical Group Inc CurrentSince Jan 1, 2007 Accepting new patients
Baptist Health Medical Group Inc CurrentSince Jan 1, 2007 Accepting new patients
Baptist Health Medical Group, Inc. Past Accepting new patients
Baptist Health Medical Group Inc Past Accepting new patients
Baptist Medical Associates, Inc. Past Accepting new patients

Locations

1023 New Moody Ln
Ste 100
Lagrange, KY 40031
Phone (502) 222-6008

1031 New Moody Ln
Ste 200
Lagrange, KY 40031
Phone (502) 222-3312

12010 Shelbyville Rd
Ste 500
Louisville, KY 40243
Phone (502) 238-2800

13117 Eastpoint Park Blvd
Ste C
Louisville, KY 40223
Phone (502) 254-0907

3303 Fern Valley Rd
Louisville, KY 40213
Phone (502) 964-4889

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

Interoperability endpoints

  • Direct secure messaging: thart7115@bhkydirect.com

Organizations & group practices 5

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": "1150934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409097600000",
    "number": "1326084773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 950248",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402950248",
            "telephone_number": "502-238-2801",
            "fax_number": "502-238-2835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1031 NEW MOODY LN",
            "address_2": "SUITE 200",
            "city": "LA GRANGE",
            "state": "KY",
            "postal_code": "400319189",
            "telephone_number": "502-225-9877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HART",
        "first_name": "THOMAS",
        "middle_name": "K",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-22",
        "last_updated": "2014-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "KY",
            "license": "27769",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6427769200",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in La Grange, KY

Sources for this page

Verify at the official NPI Registry.