Individual provider Active NPI

Craig L Tucker, M.D.

  • Cardiovascular Disease Physician
  • Louisville, KY
National Provider Identifier
1356780142
Registry record updated Dec 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
53964 Issued in KY
Practice address
6420 Dutchmans Pkwy Ste 200
Louisville, KY 40205-3373
Phone
(502) 891-8300
Fax
(502) 891-8338
NPI assigned
Jun 14, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 30, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 4301110805 MI
Cardiovascular Disease Physician 207RC0000X 53964 KY Primary

Addresses

Primary practice location

6420 Dutchmans Pkwy Ste 200
Louisville, KY 40205-3373

Mailing address

PO Box 776351
Chicago, IL 60677-3373
Phone (502) 588-9490

Electronic endpoints 2

TypeEndpointUseAffiliation
FHIR URL https://epicsoap.nortonhealthcare.org/FHIRPRD/api/FHIR/DSTU2/
Direct Messaging Address ctucker191960@direct.nortonhealthcare.org

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20200811002964 KY Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 0547404139 Reassigns benefits to 1 organization
I20251106004453 IN Practitioner - Cardiovascular Disease (Cardiology) 0547404139 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Indiana University School of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Medical Associates IncGroup PAC ID 7012811284, shared by 2 NPIs, 1,368 clinicians

Practice addresses (Care Compare)

1 Audubon Plaza Dr
Louisville, KY 40217-1318
Phone (502) 636-7225

10798 Dixie Hwy
Louisville, KY 40272-4302
Phone (502) 588-9490

115 Huston Dr
Shepherdsville, KY 40165-7250

150 Franfort Rd
Shelbyville, KY 40065-7401

200 E Chestnut St
Louisville, KY 40202-1831
Phone (502) 893-1270

207 Sparks Ave
Jeffersonville, IN 47130-3739
Phone (812) 284-5411

2355 Poplar Level Rd
Suite 200
Louisville, KY 40217-1385
Phone (502) 636-7444

2410 Ring Rd
Suite 500
Elizabethtown, KY 42701-7991
Phone (502) 891-8300

4001 Dutchmans LN
Louisville, KY 40207-4714
Phone (502) 893-1270

4960 Norton Healthcare Blvd
Louisville, KY 40241-2831
Phone (502) 446-8125

6420 Dutchmans Pkwy
Suite 200
Louisville, KY 40205-3373
Phone (502) 891-8300

825 Barret Ave
Louisville, KY 40204-1743
Phone (502) 272-5165

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.11 of 100Reported as group
Quality
63.34
Promoting interoperability
100
Improvement activities
40
Cost
73.68

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301110805MIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Community Medical Associates, Inc. Internal Medicine Current Accepting new patients
Community Medical Associates, Inc. Internal Medicine CurrentSince Aug 1, 2020 Accepting new patients
Community Medical Associates, Inc. Current Accepting new patients
Community Medical Associates, Inc. Internal Medicine CurrentSince Aug 1, 2020 Accepting new patients
Community Medical Associates, Inc. Past Accepting new patients

Locations

25 W Main St
Austin, IN 47102
Phone (812) 252-9020

1263 Hospital Dr NW
Ste 210
Corydon, IN 47112
Phone (502) 636-7242

207 Sparks Ave
Ste 101
Jeffersonville, IN 47130
Phone (812) 280-7063

630 Broadway St
Ste 1A
Madison, IN 47250
Phone (502) 629-2935

1373 E State Road 62
#6F
Madison, IN 47250
Phone (502) 629-7181

1473 N Gardner St
Scottsburg, IN 47170
Phone (812) 752-0844

309 11th St
Carrollton, KY 41008
Phone (502) 732-3241

2410 Ring Rd
Ste 500
Elizabethtown, KY 42701
Phone (270) 765-5900

279 Kings Daughters Dr
Ste 204
Frankfort, KY 40601
Phone (502) 875-9885

207 Fairgrounds Rd
Hardinsburg, KY 40143
Phone (270) 580-2256

312 W High St
Lebanon, KY 40033
Phone (270) 692-0110

325 W Walnut St
Lebanon, KY 40033
Phone (270) 699-9500

912 Wallace Ave
Ste 104
Leitchfield, KY 42754
Phone (270) 287-0001

4420 Dixie Hwy
Ste 118
Louisville, KY 40216
Phone (502) 447-3448

210 E Gray St
Ste 1002
Louisville, KY 40202
Phone (502) 584-2027

2355 Poplar Level Rd
Ste 200
Louisville, KY 40217
Phone (502) 365-2655

3101 Poplar Level Rd
Ste 101
Louisville, KY 40213
Phone (502) 636-7444

825 Barret Ave
Louisville, KY 40204
Phone (502) 272-5165

4123 Dutchmans Ln
Ste 301
Louisville, KY 40207
Phone (502) 896-2500

170 Dr Arla Way
Ste 101
Louisville, KY 40229
Phone (502) 888-1988

3999 Dutchmans Ln
Ste 1H
Louisville, KY 40207
Phone (502) 636-7472

6420 Dutchmans Pkwy
Ste 200
Louisville, KY 40205
Phone (502) 891-8333

300 High Point Ct
Ste B
Mt Washington, KY 40047
Phone (502) 955-6129

115 Huston Dr
Ste 1
Shepherdsville, KY 40165
Phone (502) 955-7311

Interoperability endpoints

  • Direct secure messaging: ctucker572680@direct.hfhs.org
  • Direct secure messaging: ctucker191960@direct.nortonhealthcare.org

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 and National Provider Directory roles.

Hospital & facility affiliations 15

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

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1371168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609286400000",
    "number": "1356780142",
    "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": "606773373",
            "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 STE 200",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402053373",
            "telephone_number": "502-891-8300",
            "fax_number": "502-891-8338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUCKER",
        "first_name": "CRAIG",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-06-14",
        "last_updated": "2020-12-30",
        "certification_date": "2020-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301110805",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "KY",
            "license": "53964",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicsoap.nortonhealthcare.org/FHIRPRD/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "6420 Dutchmans Pkwy Ste 200",
            "city": "Louisville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "402053373",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ctucker191960@direct.nortonhealthcare.org",
            "affiliation": "N",
            "address_1": "6420 Dutchmans Pkwy Ste 200",
            "city": "Louisville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "402053373",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.