Active NPI
Michael James Ferguson, MD
- Pediatric Hematology & Oncology Physician
- Louisville, KY
National Provider Identifier
1376701102
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Hematology & Oncology Physician
- License
- TP296
- Practice address
- 411 E Chestnut St # 4B
Louisville, KY 40202-1713 - Phone
- (502) 588-3600
- Fax
- (502) 588-9536
- NPI assigned
- May 29, 2008
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Hematology & Oncology Physician | 2080P0207X | 01068371A | IN | |
| Pediatric Hematology & Oncology Physician | 2080P0207X | TP296 | KY | Primary |
Addresses
Primary practice location
411 E Chestnut St # 4B
Louisville, KY 40202-1713
Mailing address
PO Box 776879
Chicago, IL 60677-6879
Phone (502) 588-9490
Other practice location 1
705 Riley Hospital Dr
Roc 4340
Indianapolis, IN 46202-5109
Phone (317) 944-2143
Other practice location 2
11104 Parkview Circle Dr Ste 50
Fort Wayne, IN 46845-1733
Phone (260) 266-5400
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 201107420 | Medicaid | IN | |
| 000000924981 | Other | IN | BCBS MEMORIAL CHILDRENS HOSPITAL |
| 7100724850 | Medicaid | KY |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mfergus1@direct.iuhealth.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN, KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130626000853 | IN | Practitioner - Pediatric Medicine | 4587801444 | Reassigns benefits to 1 organization |
| I20240912003090 | KY | Practitioner - Hematology/Oncology | 4587801444 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Hematology/Oncology
- Education
- Indiana University School of Medicine, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
411 E Chestnut St
Level 4B
Louisville, KY 40202-1713
Phone (502) 588-3600
Hospital & facility affiliations
- Norton Hospitals, Inc
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Norton Children'S Medical Group, LLC | Pediatric Hematology-Oncology | Current | Accepting new patients |
| Norton Children'S Medical Group, LLC | Current | Accepting new patients | |
| University Pediatric Associates, Inc. | Current | Accepting new patients | |
| Norton Children'S Medical Group, LLC | Current | Accepting new patients | |
| Major Hospital | Past | Accepting new patients | |
| Norton Hospitals, Inc | Past | Accepting new patients | |
| Norton Childrens Medical Group, LLC | Past | Accepting new patients |
Locations
705 Riley Hospital Dr
Indianapolis, IN 46202
Phone (317) 274-4779
705 Riley Hospital Dr
#4340
Indianapolis, IN 46202
Phone (317) 944-2143
705 Riley Hospital Dr
Ste 4340
Indianapolis, IN 46202
210 E Gray St
Ste 1105
Louisville, KY 40202
Phone (502) 583-1609
411 E Chestnut St
Louisville, KY 40202
Phone (502) 588-2330
411 E Chestnut St
#4B
Louisville, KY 40202
Phone (502) 588-3600
601 S Floyd St
Ste 604
Louisville, KY 40202
Phone (502) 559-1670
200 E Chestnut St
Louisville, KY 40202
Phone (502) 446-8000
231 E Chestnut St
Louisville, KY 40202
Phone (502) 852-8500
530 S Jackson St
Louisville, KY 40202
Phone (502) 562-3000
Interoperability endpoints
- mferguson297647@direct.nortonhealthcare.org
Organizations & group practices 7
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.
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Hospital & facility affiliations 14
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1212019200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723420800000",
"number": "1376701102",
"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": "502-588-9490",
"fax_number": "502-272-5116"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "411 E CHESTNUT ST # 4B",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402021713",
"telephone_number": "502-588-3600",
"fax_number": "502-588-9536"
}
],
"practiceLocations": [
{
"address_1": "705 Riley Hospital Dr",
"address_2": "ROC 4340",
"address_purpose": "LOCATION",
"city": "Indianapolis",
"state": "IN",
"postal_code": "462025109",
"country_code": "US",
"telephone_number": "317-944-2143",
"fax_number": "317-944-3107",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "11104 Parkview Circle Dr Ste 50",
"address_purpose": "LOCATION",
"city": "Fort Wayne",
"state": "IN",
"postal_code": "468451733",
"country_code": "US",
"telephone_number": "260-266-5400",
"fax_number": "260-458-8948",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FERGUSON",
"first_name": "MICHAEL",
"middle_name": "JAMES",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-05-29",
"last_updated": "2024-08-12",
"certification_date": "2024-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "2080P0207X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Hematology-Oncology",
"state": "IN",
"license": "01068371A",
"primary": false
},
{
"code": "2080P0207X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Hematology-Oncology",
"state": "KY",
"license": "TP296",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "201107420",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS MEMORIAL CHILDRENS HOSPITAL",
"identifier": "000000924981",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100724850",
"state": "KY"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mfergus1@direct.iuhealth.org",
"affiliation": "N",
"address_1": "705 Riley Hospital Dr",
"address_2": "ROC 4340",
"city": "Indianapolis",
"state": "IN",
"country_code": "US",
"postal_code": "462025109",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Aug 12, 2024; 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.