Jacob Lawrence Nunamaker IV, M.D.

Primary specialty

Interventional Cardiology PhysicianTaxonomy code 207RI0011X

License

43177 Issued in KY

Practice address

6420 Dutchmans Pkwy
Ste 200
Louisville, KY 40205-3372

Phone

(502) 821-8300

Fax

(502) 891-8338

NPI assigned

Nov 8, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 4

Electronic endpoints 2

Medicare fee-for-service enrollment

Enrolled in KY, IN2 enrollments

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 2

Specialty

Cardiovascular Disease (Cardiology)

Education

Medical University of South Carolina College of Medicine, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Community Medical Associates IncGroup PAC ID 7012811284, 1,368 clinicians

Deaconess Specialty Physicians, IncGroup PAC ID 0244595205, 228 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Norton Hospitals, Inc Hospital, Louisville, KY, CCN 180088
• Harrison County Hospital Hospital, Corydon, IN, CCN 151331
• Memorial Hospital and Health Care Center Hospital, Jasper, IN, CCN 150115
• Norton Clark Hospital Hospital, Jeffersonville, IN, CCN 150009
• UOFL HEALTH - JEWISH HOSPITAL and Mary & Elizabeth Hospital Hospital, Louisville, KY, CCN 180040

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations (25 of 34)

Interoperability endpoints

• Direct secure messaging: jnunamaker12621@direct.nortonhealthcare.org

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.

• Community Medical Associates, Inc.

  • Internal Medicine Physician
  • Louisville, KY
  • NPI 1588614994

  IN

  Medicare reassignment Care Compare group NPD
• Deaconess Specialty Physicians, Inc

  • Cardiovascular Disease Physician
  • Evansville, IN
  • NPI 1306344817
  Medicare reassignment Care Compare group
• Community Medical Associates, Inc.

  • Multi-Specialty Clinic/Center
  • Louisville, KY
  • NPI 1306983762
  Medicare reassignment
• Baptist Health Deaconess Medical Group Inc

  • Internal Medicine Physician
  • Madisonville, KY
  • NPI 1437730942
  NPD
• Community Medical Associates, Inc.

  • Diagnostic Radiology Physician
  • Louisville, KY
  • NPI 1306402805
  NPD
• Deaconess Specialty Physicians, Inc

  • Cardiovascular Disease Physician
  • Henderson, KY
  • NPI 1124522750

  Interventional Cardiology

  NPD
• Deaconess Specialty Physicians Inc

  • Family Medicine Physician
  • Huntingburg, IN
  • NPI 1831980945
  NPD
• Community Medical Associates, Inc.

  • Neurological Surgery Physician
  • Louisville, KY
  • NPI 1922288760
  NPD (past)
• Beaufort County Memorial Hospital

  • General Practice Physician
  • Beaufort, SC
  • NPI 1336180165
  NPD (past)

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

• Norton Hospitals Inc

  • General Acute Care Hospital
  • Louisville, KY
  • NPI 1043348808
  Care Compare affiliation
• Norton Hospitals Inc

  • Multi-Specialty Clinic/Center
  • Louisville, KY
  • NPI 1073568879

  Hospital

  Care Compare affiliation
• Norton Hospitals Inc

  • Rehabilitation Clinic/Center
  • Louisville, KY
  • NPI 1124314158

  Hospital

  Care Compare affiliation
• Norton Hospitals Inc

  • Radiology Clinic/Center
  • Louisville, KY
  • NPI 1154329696

  Hospital

  Care Compare affiliation
• Norton Hospitals Inc

  • Medical Specialty Clinic/Center
  • Louisville, KY
  • NPI 1174819106

  Hospital

  Care Compare affiliation
• Norton Hospitals Inc

  • General Acute Care Hospital
  • Louisville, KY
  • NPI 1447388335
  Care Compare affiliation
• Norton Hospitals Inc

  • Medical Specialty Clinic/Center
  • Louisville, KY
  • NPI 1659669414

  Hospital

  Care Compare affiliation
• Norton Hospitals Inc

  • Ambulatory Surgical Clinic/Center
  • Louisville, KY
  • NPI 1700105699

  Hospital

  Care Compare affiliation
• Norton Hospitals, Inc

  • Radiology Clinic/Center
  • Louisville, KY
  • NPI 1255335873

  Hospital

  Care Compare affiliation
• Norton Hospitals, Inc

  • General Acute Care Hospital
  • Louisville, KY
  • NPI 1699514463
  Care Compare affiliation
• Norton Hospitals, Inc

  • General Acute Care Hospital
  • Louisville, KY
  • NPI 1831195908
  Care Compare affiliation
• Norton Hospitals, Inc

  • General Acute Care Hospital
  • Louisville, KY
  • NPI 1891799227
  Care Compare affiliation

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571270400000",
    "number": "1356411508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 776351",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606776351",
            "telephone_number": "502-588-9490",
            "fax_number": "502-272-5116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6420 DUTCHMANS PKWY",
            "address_2": "STE 200",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402053372",
            "telephone_number": "502-821-8300",
            "fax_number": "502-891-8338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NUNAMAKER",
        "first_name": "JACOB",
        "middle_name": "LAWRENCE",
        "name_prefix": "Dr.",
        "name_suffix": "IV",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-08",
        "last_updated": "2019-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "KY",
            "license": "43177",
            "primary": true
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "KY",
            "license": "TP888",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100107670",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM- CARDIOTHORACIC SURGERY OF LOUISVILLE",
            "identifier": "000000693030",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA- CARDIOTHORACIC SURGERY OF LOUISVILLE",
            "identifier": "000057080N",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00992197",
            "state": "KY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicsoap.nortonhealthcare.org/FHIRPRD/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "6420 Dutchmans Pkwy",
            "address_2": "Ste 200",
            "city": "Louisville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "402053372",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jnunamaker12621@direct.nortonhealthcare.org",
            "affiliation": "N",
            "address_1": "6420 Dutchmans Pkwy",
            "address_2": "Ste 200",
            "city": "Louisville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "402053372",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Nulease Medical Solutions LLC
• Nulease Medical Solutions LLC
• Nulease Medical Solutions LLC
• Nulease Pain Management LLC
• Jacob Nunamaker V
• Kenneth Nunez
• Mark Nunley, M.D.
• Talon Nunley, NURSING STUDENT
• Dana Smith Nunn, MS, OTR/L
• Diannah Catherine Nunn, PSS

• Interventional Cardiology Physician in Louisville, KY
• Providers in Louisville, KY by specialty
• Interventional Cardiology Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.