Active NPI
Soraya P Nasraty, MD
- Family Medicine Physician
- Louisville, KY
National Provider Identifier
1386601334
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 28191
- Practice address
- 1930 Bishop LN
Suite 1600
Louisville, KY 40218-1921 - Phone
- (502) 272-5034
- Fax
- (502) 272-5117
- NPI assigned
- Apr 26, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 28191 | KY | Primary |
Addresses
Primary practice location
1930 Bishop LN
Suite 1600
Louisville, KY 40218-1921
Mailing address
PO Box 776351
Chicago, IL 60677-6351
Phone (502) 588-9490
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200099340 | Medicaid | IN | |
| P00800039 | Other | KY | RAILROAD MCR-KY |
| 64281918 | Medicaid | KY | |
| 108056 | Other | KY | SIHO - NICC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28191 | KY | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Louisville Research Foundation | Family Medicine | Past | Accepting new patients |
| Seymour Indiana Pathologists, Inc | Past | Accepting new patients | |
| University Family & Geriatric Medicine Associates Inc | Family Medicine | Past | Accepting new patients |
| University Physicians Group - Radiology | Past | Accepting new patients |
Organizations & group practices 4
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.
-
- Geriatric Medicine (Family Medicine) Physician
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- NPI 1043484652
-
- Family Medicine Physician
- Louisville, KY
- NPI 1851357735
-
- Diagnostic Radiology Physician
- Louisville, KY
- NPI 1619061116
-
- Anatomic Pathology & Clinical Pathology Physician
- Seymour, IN
- NPI 1124237987
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146009600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1468368000000",
"number": "1386601334",
"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": "1930 BISHOP LN",
"address_2": "SUITE 1600",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402181921",
"telephone_number": "502-272-5034",
"fax_number": "502-272-5117"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NASRATY",
"first_name": "SORAYA",
"middle_name": "P",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-26",
"last_updated": "2016-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "KY",
"license": "28191",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200099340",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MCR-KY",
"identifier": "P00800039",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "64281918",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SIHO - NICC",
"identifier": "108056",
"state": "KY"
}
],
"endpoints": [],
"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 Jul 13, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.