NPIMap

Organization Active NPI

Baptist Health Medical Group Inc

  • Durable Medical Equipment & Medical Supplies
  • New Albany, IN
National Provider Identifier
1396101663
Registry record updated Nov 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
BAPTIST HEALTH MEDICAL GROUP INC
Practice address
1425 State St Ste 200
New Albany, IN 47150-4977
Phone
(502) 897-1794
Fax
(502) 897-3852
NPI assigned
Jan 2, 2016
Last updated
Nov 13, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2025

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

Authorized official

Name
Danyel D Clay
Title
Vice President
Phone
(502) 253-4911

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU Primary
Physician Assistant 363A00000X NU
Medical Physician Assistant 363AM0700X NU
Surgical Physician Assistant 363AS0400X NU
Nurse Practitioner 363L00000X NU
Orthopaedic Surgery Physician 207X00000X NU
Adult Reconstructive Orthopaedic Surgery Physician 207XS0114X NU
Interventional Pain Medicine Physician 208VP0014X NU

Addresses

Primary practice location

1425 State St Ste 200
New Albany, IN 47150-4977

Mailing address

4130 Dutchmans LN Ste 300
Louisville, KY 40207-4710
Phone (502) 897-1794

Other practice location 1

4130 Dutchmans Ln
Ste 300
Louisville, KY 40207-4710
Phone (502) 897-1794

Other identifiers 2

IdentifierTypeStateIssuer
201294280AMedicaidIN
90135567MedicaidKY

National Provider Directory

National Provider Directory
Tax ID family
Louisville Cardiology Group59 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 6

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

Locations

200 Missouri Ave
Bldg 18
Jeffersonvlle, IN 47130
Phone (502) 552-5221

4130 Dutchmans Ln
Ste 101
Louisville, KY 40207
Phone (502) 897-1790

NPI Registry JSON

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

{
    "created_epoch": "1451692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762992000000",
    "number": "1396101663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4130 DUTCHMANS LN STE 300",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402074710",
            "telephone_number": "502-897-1794",
            "fax_number": "502-897-3852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1425 STATE ST STE 200",
            "city": "NEW ALBANY",
            "state": "IN",
            "postal_code": "471504977",
            "telephone_number": "502-897-1794",
            "fax_number": "502-897-3852"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4130 Dutchmans Ln",
            "address_2": "Ste 300",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402074710",
            "country_code": "US",
            "telephone_number": "502-897-1794",
            "fax_number": "502-897-3852",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BAPTIST HEALTH MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-02",
        "last_updated": "2025-11-13",
        "certification_date": "2025-11-13",
        "status": "A",
        "authorized_official_last_name": "CLAY",
        "authorized_official_first_name": "DANYEL",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "502-253-4911"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207XS0114X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201294280A",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "90135567",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Albany, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.