Carlton Damon Paige, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

26752 Issued in KY

Practice address

13111 Eastpoint Park Blvd
Louisville, KY 40223-4164

Phone

(502) 443-9962

Fax

(844) 300-5176

NPI assigned

May 5, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 4

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Internal Medicine and Pediatric Associates, PSC

  • Internal Medicine Physician
  • Crestwood, KY
  • NPI 1972539450
  NPD (past)

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

{
    "created_epoch": "1146787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638316800000",
    "number": "1417905795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 987",
            "city": "PEWEE VALLEY",
            "state": "KY",
            "postal_code": "400560987",
            "telephone_number": "502-443-9962",
            "fax_number": "844-300-5176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13111 EASTPOINT PARK BLVD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402234164",
            "telephone_number": "502-443-9962",
            "fax_number": "844-300-5176"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 E Liberty St",
            "address_2": "Suite 800",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402021434",
            "country_code": "US",
            "telephone_number": "502-225-4480",
            "fax_number": "502-225-9169",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAIGE",
        "first_name": "CARLTON",
        "middle_name": "DAMON",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-05",
        "last_updated": "2021-12-01",
        "certification_date": "2021-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KY",
            "license": "26752",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "KY",
            "license": "26752",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PASSPORT",
            "identifier": "50001412",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PASSPORT ADVANTAGE",
            "identifier": "2443004000",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64267529",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000298638",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sebastian Pagni, M.D.
• Priyanka Vishnu Pagnis
• Holly Pahler
• Mehak Pahwa, MD PSYCHIATRY
• Siddharth Pahwa
• Jerricca Darlene Paige, RBT
• Willis Paige, CSA
• Rejith Paily, M.D.
• Romith Paily
• Pain and Performance Solutions LLC

• Internal Medicine Physician in Louisville, KY
• Providers in Louisville, KY by specialty
• Internal Medicine Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2021; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.