Individual provider Active NPI

Virginia L Menche, MD

  • Pediatrics Physician
  • Louisville, KY
National Provider Identifier
1326544420
Registry record updated Nov 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
55001 Issued in KY
Practice address
12955 Shelbyville Rd Ste 1
Louisville, KY 40243-1538
Phone
(502) 254-2223
Fax
(502) 254-2525
NPI assigned
Apr 5, 2018
Last updated
Nov 8, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 55001 KY Primary

Addresses

Primary practice location

12955 Shelbyville Rd Ste 1
Louisville, KY 40243-1538

Mailing address

PO Box 776879
Chicago, IL 60677-6879
Phone (502) 559-9407

Other identifiers 1

IdentifierTypeStateIssuer
7100606920MedicaidKY

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
I20210610003010 KY Practitioner - Pediatric Medicine 0345640447 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Cumberland Family Medical Center Inc CurrentSince Jul 19, 2021 Accepting new patients
Norton Childrens Medical Group, LLC Pediatrics CurrentSince Jan 1, 2025 Accepting new patients
Norton Children's Medical Group, LLC Current Accepting new patients
Cumberland Family Medical Center Inc CurrentSince Jul 19, 2021 Accepting new patients
Norton Children's Medical Group, LLC CurrentSince Jan 1, 2025 Accepting new patients
Cumberland Family Medical Center Inc PastSince Jul 25, 2021 Accepting new patients

Locations

360 Keen St
Burkesville, KY 42717
Phone (270) 864-1472

89 C Michael Davenport Blvd
Ste 2
Frankfort, KY 40601
Phone (502) 875-0561

12955 Shelbyville Rd
#1
Louisville, KY 40243
Phone (502) 254-2223

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

Interoperability endpoints

  • Direct secure messaging: vmenche144454@direct.nortonhealthcare.org

Organizations & group practices 6

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": "1522886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731024000000",
    "number": "1326544420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 776879",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606776879",
            "telephone_number": "502-559-9407",
            "fax_number": "502-272-5339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12955 SHELBYVILLE RD STE 1",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402431538",
            "telephone_number": "502-254-2223",
            "fax_number": "502-254-2525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENCHE",
        "first_name": "VIRGINIA",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-05",
        "last_updated": "2024-11-08",
        "certification_date": "2024-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "KY",
            "license": "55001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100606920",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.