Individual provider Active NPI

John Michael Bernardi, M.D.

  • Dermatology Physician
  • Louisville, KY
National Provider Identifier
1376730275
Registry record updated Aug 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
44087 Issued in KY
Practice address
310 E Broadway
Suite 200
Louisville, KY 40202-1745
Phone
(502) 585-5249
Fax
(502) 585-5251
NPI assigned
Sep 25, 2007
Last updated
Aug 17, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 44087 KY Primary

Addresses

Primary practice location

310 E Broadway
Suite 200
Louisville, KY 40202-1745

Mailing address

310 E Broadway
Suite 200
Louisville, KY 40202-1745
Phone (502) 585-5249

Other identifiers 2

IdentifierTypeStateIssuer
44087OtherKYSTATE LICENSE
207N00000XOtherTAXONOMY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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 1

Enrollment IDStateProvider typePAC IDDetails
I20110712000150 KY Practitioner - Dermatology 5496923781 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Louisville School of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vitalskin Medical Group Il PLLCGroup PAC ID 5991116261, 56 clinicians

Practice addresses (Care Compare)

10619 Meeting St
Unit 106
Prospect, KY 40059-6555
Phone (812) 944-7500

114 Manor Ave
Bardstown, KY 40004-3230
Phone (217) 729-7868

13802 Lake Point Cir
Louisville, KY 40223-4219
Phone (217) 729-7868

310 E Broadway
Suite 200
Louisville, KY 40202-1745
Phone (812) 944-7500

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision60
Removal of skin lesions1407
Removal or shaving of skin growth1-10
Skin biopsy511

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
44087KYMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vitalskin Medical Group Il PLLC Dermatology CurrentSince Oct 2, 2023 Accepting new patients
University of Louisville Physicians, Inc. Dermatology CurrentSince Oct 3, 2014 Accepting new patients
Dr William M Parsley MD PSC Dermatology CurrentSince Jul 1, 2011 Accepting new patients
University of Louisville Physicians, Inc. CurrentSince Oct 3, 2014 Accepting new patients
University of Louisville Physicians, Inc. Dermatology Current Accepting new patients
Vitalskin Medical Group Il PLLC Dermatology CurrentSince Oct 2, 2023 Accepting new patients
Have a Heart Foundation Inc CurrentSince Jan 1, 2019 Accepting new patients

Locations

7752 Solution Ctr
Chicago, IL 60677

114 Manor Ave
Bardstown, KY 40004
Phone (217) 729-7868

103 Diagnostic Dr
Ste A
Frankfort, KY 40601
Phone (502) 352-2468

13802 Lake Point Cir
#102
Louisville, KY 40223
Phone (217) 729-7664

310 E Broadway
Ste 100
Louisville, KY 40202
Phone (502) 245-0002

310 E Broadway
Ste 200
Louisville, KY 40202
Phone (502) 585-5249

571 S Floyd St
Louisville, KY 40202
Phone (502) 561-2700

10619 Meeting St
Unit 106
Prospect, KY 40059
Phone (502) 326-2622

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1190678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439769600000",
    "number": "1376730275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 E BROADWAY",
            "address_2": "SUITE 200",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402021745",
            "telephone_number": "502-585-5249",
            "fax_number": "502-585-5251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 E BROADWAY",
            "address_2": "SUITE 200",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402021745",
            "telephone_number": "502-585-5249",
            "fax_number": "502-585-5251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERNARDI",
        "first_name": "JOHN",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-09-25",
        "last_updated": "2015-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "KY",
            "license": "44087",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "44087",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAXONOMY",
            "identifier": "207N00000X",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.