Active NPI
Emmanuel K Rafla, MD
- Anesthesiology Physician
- Louisville, KY
National Provider Identifier
1346309465
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 35618
- Practice address
- 200 Abraham Flexner Way
Louisville, KY 40202-1818 - Phone
- (502) 584-0166
- Fax
- (502) 584-0144
- NPI assigned
- Dec 6, 2006
- Last updated
- Jul 9, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 35618 | KY | Primary |
Addresses
Primary practice location
200 Abraham Flexner Way
Louisville, KY 40202-1818
Mailing address
100 E Liberty St
Suite 303
Louisville, KY 40202-1434
Phone (502) 584-0166
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000076793 | Other | KY | ANTHEM |
| 64009897 | Medicaid | KY | |
| 1114109 | Medicaid | KY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35618 | KY | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Our Lady of Bellefonte Hospital, Inc. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
dba Bellefonte Wound Care Center
- Nurse Practitioner
- Ashland, KY
- NPI 1457545543
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165363200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1346309465",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 E LIBERTY ST",
"address_2": "SUITE 303",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402021434",
"telephone_number": "502-584-0166",
"fax_number": "502-584-0144"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 ABRAHAM FLEXNER WAY",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402021818",
"telephone_number": "502-584-0166",
"fax_number": "502-584-0144"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAFLA",
"first_name": "EMMANUEL",
"middle_name": "K",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-06",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "KY",
"license": "35618",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000076793",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "64009897",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1114109",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Louisville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.