NPIMap

Individual provider Active NPI

Gerard Paul Rabalais, MD

  • Pediatric Infectious Diseases Physician
  • Louisville, KY
National Provider Identifier
1437133840
Registry record updated Sep 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Infectious Diseases PhysicianTaxonomy code 2080P0208X
License
25426 Issued in KY
Practice address
210 E Gray St
Ste 802
Louisville, KY 40202-3904
Phone
(502) 588-2348
Fax
(502) 588-2334
NPI assigned
Nov 30, 2005
Last updated
Sep 3, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 25426 KY
Pediatric Infectious Diseases Physician 2080P0208X 25426 KY Primary

Addresses

Primary practice location

210 E Gray St
Ste 802
Louisville, KY 40202-3904

Mailing address

PO Box 776879
Chicago, IL 60677-6879
Phone (502) 588-9490

Other practice location 1

411 E Chestnut St # 4B5A
Louisville, KY 40202-1713
Phone (502) 588-2348

Other identifiers 2

IdentifierTypeStateIssuer
100376310MedicaidIN
64254265MedicaidKY

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
I20071012000426 KY Practitioner - Pediatric MedicinePractitioner - Infectious Disease 5092627505 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Norton Children's Medical Group, LLC Pediatrics CurrentSince Feb 1, 2020 Accepting new patients
University of Louisville Physicians, Inc. Current Accepting new patients
Norton Children's Medical Group, LLC Current Accepting new patients
Norton Children's Medical Group, LLC CurrentSince Feb 1, 2020 Accepting new patients
University Pediatric Gastroenterology, LLC PastSince Apr 8, 2009 Accepting new patients
University Pediatric Endocrinology, LLC PastSince Nov 14, 2005 Accepting new patients
University Children's Kidney Specialists, LLC PastSince Sep 1, 2007 Accepting new patients
University Pediatric Rheumatology of Kentucky LLC PastSince Sep 15, 2007 Accepting new patients
University Children's Sleep Medicine Specialists, LLC Pediatrics PastSince Aug 28, 2006 Accepting new patients
University Pediatric Pulmonary, LLC Pediatrics PastSince May 1, 2010 Accepting new patients

Locations

411 E Chestnut St
#4B
Louisville, KY 40202
Phone (502) 588-3600

411 E Chestnut St
#4B5A
Louisville, KY 40202
Phone (502) 588-2348

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

601 S Floyd St
Ste 604
Louisville, KY 40202
Phone (502) 559-1670

Interoperability endpoints

  • Direct secure messaging: gerardrabalais@uoflouisph.allscriptsdirect.net

Organizations & group practices 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1133308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630627200000",
    "number": "1437133840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 776879",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606776879",
            "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": "210 E GRAY ST",
            "address_2": "STE 802",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402023904",
            "telephone_number": "502-588-2348",
            "fax_number": "502-588-2334"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "411 E Chestnut St # 4B5A",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402021713",
            "country_code": "US",
            "telephone_number": "502-588-2348",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RABALAIS",
        "first_name": "GERARD",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-30",
        "last_updated": "2021-09-03",
        "certification_date": "2021-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "KY",
            "license": "25426",
            "primary": false
        },
        {
            "code": "2080P0208X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Infectious Diseases",
            "state": "KY",
            "license": "25426",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100376310",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64254265",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.