NPIMap

Individual provider Active NPI

Mark Paul Bazant, M.D.

  • Neurology Physician
  • Louisville, KY
National Provider Identifier
1407018187
Registry record updated Jan 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
45824 Issued in KY
Practice address
3991 Dutchmans LN
Suite 310
Louisville, KY 40207-4700
Phone
(502) 899-6782
Fax
(502) 899-6783
NPI assigned
Jun 25, 2008
Last updated
Jan 12, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 01071068A IN
Neurology Physician 2084N0400X 45824 KY Primary

Addresses

Primary practice location

3991 Dutchmans LN
Suite 310
Louisville, KY 40207-4700

Mailing address

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

Other identifiers 2

IdentifierTypeStateIssuer
000000824411OtherKYANTHEM
7100245160MedicaidKY

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address mbazant61361@direct.nortonhealthcare.org
FHIR URL https://epicsoap.nortonhealthcare.org/FHIRPRD/api/FHIR/DSTU2/

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131114000948 KY Practitioner - Neurology 7719124338 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Univ of Nebraska Medical Center, Col of Dentistry, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Community Medical Associates IncGroup PAC ID 7012811284, 1,368 clinicians

Practice addresses (Care Compare)

200 E Chestnut St
Louisville, KY 40202-1831
Phone (502) 893-1270

3999 Dutchmans LN
Louisville, KY 40207-4744

4915 Norton Healthcare Blvd
Suite 103
Louisville, KY 40241-2860
Phone (502) 446-6640

4960 Norton Healthcare Blvd
Louisville, KY 40241-2831
Phone (502) 446-8125

825 Barret Ave
Louisville, KY 40204-1743
Phone (502) 272-5165

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.11 of 100Reported as group
Quality
63.34
Promoting interoperability
100
Improvement activities
40
Cost
73.68

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
45824KYMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Community Medical Associates, Inc. Current Accepting new patients
Community Medical Associates, Inc. CurrentSince Oct 2, 2013 Accepting new patients
Community Medical Associates, Inc. CurrentSince Oct 2, 2013 Accepting new patients
Community Medical Associates, Inc. Past Accepting new patients

Locations

3991 Dutchmans Ln
Ste 310
Louisville, KY 40207
Phone (502) 592-9499

4915 Norton Healthcare Blvd
Ste 301
Louisville, KY 40241
Phone (502) 394-6460

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

Interoperability endpoints

  • Direct secure messaging: mbazant61361@direct.nortonhealthcare.org

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

Hospital & facility affiliations 15

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

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1214352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610409600000",
    "number": "1407018187",
    "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": "3991 DUTCHMANS LN",
            "address_2": "SUITE 310",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402074700",
            "telephone_number": "502-899-6782",
            "fax_number": "502-899-6783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAZANT",
        "first_name": "MARK",
        "middle_name": "PAUL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-25",
        "last_updated": "2021-01-12",
        "certification_date": "2021-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "IN",
            "license": "01071068A",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "KY",
            "license": "45824",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000824411",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100245160",
            "state": "KY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mbazant61361@direct.nortonhealthcare.org",
            "affiliation": "N",
            "address_1": "3991 Dutchmans Ln",
            "address_2": "Suite 310",
            "city": "Louisville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "402074700",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicsoap.nortonhealthcare.org/FHIRPRD/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "3991 Dutchmans Ln",
            "address_2": "Suite 310",
            "city": "Louisville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "402074700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.