NPIMap

Individual provider Active NPI

Paul C Celestre, MD

  • Orthopaedic Surgery of the Spine Physician
  • Louisville, KY
National Provider Identifier
1366626558
Registry record updated Jul 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X
License
45221 Issued in KY
Practice address
210 E Gray St Ste 900
Louisville, KY 40202-3905
Phone
(502) 584-7525
Fax
(502) 584-6851
NPI assigned
Dec 24, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 0101253491 VA
Orthopaedic Surgery of the Spine Physician 207XS0117X MD207469 LA
Student in an Organized Health Care Education/Training Program 390200000X
Orthopaedic Surgery of the Spine Physician 207XS0117X 45221 KY Primary

Addresses

Primary practice location

210 E Gray St Ste 900
Louisville, KY 40202-3905

Mailing address

PO Box 776351
Chicago, IL 60677-6351
Phone (502) 588-9490

Other identifiers 5

IdentifierTypeStateIssuer
08820221MedicaidMS
K058720OtherKYMEDICARE -NORTON LEATHERMAN SPINE
201109840MedicaidIN
2380893MedicaidLA
7100209390MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, IN2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20120807000625 KY Practitioner - Orthopedic Surgery 0244486249 Reassigns benefits to 2 organizations
I20251204003654 IN Practitioner - Orthopedic Surgery 0244486249 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of California, San Diego School of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
SN Kentuckiana Rehab, LLCGroup PAC ID 1254671464, shared by 19 NPIs, 339 clinicians
Community Medical Associates IncGroup PAC ID 7012811284, shared by 2 NPIs, 1,368 clinicians

Practice addresses (Care Compare)

12613 Taylorsville Rd
Louisville, KY 40299-5496
Phone (502) 267-1480

1373 E State Rd
Madison, IN 47250-7328
Phone (812) 801-0848

210 E Gray St
Suite 900
Louisville, KY 40202-3905
Phone (502) 569-2220

Hospital & facility affiliations

  • Caretenders Home health agency, Louisville, KY, CCN 187152
  • Norton Hospitals, Inc Hospital, Louisville, KY, CCN 180088
  • Norton-King'S Daughters' Health Hospital, Madison, IN, CCN 150069
  • Norton Clark Hospital Hospital, Jeffersonville, IN, CCN 150009

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion217
Laminectomy or laminotomy (partial removal of spine bones)26

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101253491VAMDOrthopaedic Surgery Physician
45221KYMDOrthopaedic Surgery of the Spine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Community Medical Associates, Inc. CurrentSince Sep 1, 2024 Accepting new patients
Community Medical Associates, Inc. Orthopaedic Surgery of the Spine CurrentSince Sep 18, 2025 Accepting new patients
Community Medical Associates, Inc. Current Accepting new patients
Community Medical Associates, Inc. Current Accepting new patients
Community Medical Associates, Inc. CurrentSince Sep 1, 2024 Accepting new patients
Community Medical Associates, Inc. Orthopaedic Surgery Past Accepting new patients
Norton Hospitals, Inc Past Accepting new patients

Locations

3118 E 10th St
Ste A
Jeffersonville, IN 47130
Phone (812) 280-9355

1373 E State Road 62
Ste 2A
Madison, IN 47250
Phone (812) 801-0848

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

157 Towne Dr
Ste 103
Elizabethtown, KY 42701
Phone (270) 765-5926

202 Limestone St S
Ste 1B
Frankfort, KY 40601
Phone (502) 629-2225

210 E Gray St
Ste 900
Louisville, KY 40202
Phone (502) 584-8002

3991 Dutchmans Ln
Ste 401
Louisville, KY 40207
Phone (502) 259-3220

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

4123 Dutchmans Ln
Ste 101
Louisville, KY 40207
Phone (502) 559-1777

200 E Chestnut St
Louisville, KY 40202
Phone (502) 446-8000

9300 Stonestreet Rd
Ste 200
Louisville, KY 40272
Phone (502) 935-8061

1930 Bishop Ln
Ste 1200
Louisville, KY 40218

4123 Dutchmans Ln
Ste 401
Louisville, KY 40207
Phone (502) 394-6341

9880 Angies Way
Ste 300
Louisville, KY 40241
Phone (502) 629-2225

9300 Stonestreet Rd
Ste 400
Louisville, KY 40272
Phone (502) 935-8061

150 Frankfort Rd
Ste 102B
Shelbyville, KY 40065
Phone (502) 633-9030

Interoperability endpoints

  • Direct secure messaging: pcelestre10970@direct.nortonhealthcare.org

Organizations & group practices 8

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 19

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

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1198454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720483200000",
    "number": "1366626558",
    "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": "210 E GRAY ST STE 900",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402023905",
            "telephone_number": "502-584-7525",
            "fax_number": "502-584-6851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CELESTRE",
        "first_name": "PAUL",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-12-24",
        "last_updated": "2024-07-09",
        "certification_date": "2024-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "VA",
            "license": "0101253491",
            "primary": false
        },
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "LA",
            "license": "MD207469",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "KY",
            "license": "45221",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "08820221",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE -NORTON LEATHERMAN SPINE",
            "identifier": "K058720",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201109840",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2380893",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100209390",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.