Active NPI
Lloyd Ross Taustine, MD
- Ophthalmology Physician
- Louisville, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 19646
- Practice address
- 1169 Eastern Pkwy Ste 1211
Louisville, KY 40217-1462 - Phone
- (502) 896-8700
- Fax
- (502) 896-0813
- NPI assigned
- Aug 12, 2005
- Last updated
- Feb 10, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 28394 | IN | |
| Ophthalmology Physician | 207W00000X | 19646 | KY | Primary |
Addresses
Primary practice location
1169 Eastern Pkwy Ste 1211
Louisville, KY 40217-1462
Mailing address
6400 Dutchmans Pkwy Ste 125
Louisville, KY 40205-3342
Phone (502) 896-8700
Other identifiers 13
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000042393 | Other | IN | ANTHEM |
| K001342 | Other | TRICARE KENTUCKY OFFICE | |
| 1052110 | Medicaid | KY | |
| 0800022 | Other | UNITED HEALTHCARE | |
| 64196462 | Medicaid | KY | |
| 917333 | Other | BLOCK VISION | |
| I005632 | Other | TRICARE INDIANA OFFICE | |
| 100259770A | Other | MEDICAID IN MADISON OFFIC | |
| 000000062217 | Other | KY | ANTHEM |
| 100259770B | Other | MEDICAID IN LOUISVILLE OF | |
| 180004025 | Other | IN | MEDICARE RAILROAD |
| 180012783 | Other | KY | MEDICARE RAILROAD |
| 4012921 | Other | AETNA |
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 92.3 of 100
- Quality
- 98.56
- Improvement activities
- 40
- Cost
- 76.24
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28394 | IN | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kentucky Eye Care PSC | Ophthalmology | Current | Accepting new patients |
| Kentucky Eye Care PSC | Ophthalmology | Current | Accepting new patients |
Locations
1169 Eastern Pkwy
Ste 1211
Louisville, KY 40217
Phone (502) 451-7740
5202 Preston Hwy
Louisville, KY 40213
Phone (502) 966-2148
6400 Dutchmans Pkwy
Ste 125
Louisville, KY 40205
13 Village Plz
Shelbyville, KY 40065
Phone (800) 525-0414
189 Adam Shepherd Pkwy
Ste 20
Shepherdsville, KY 40165
Phone (502) 215-7094
Organizations & group practices 2
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.
-
- Ophthalmology Physician
- Louisville, KY
- NPI 1588748784
-
- Ophthalmology Physician
- Louisville, KY
- NPI 1740937960
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123804800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1675987200000",
"number": "1437151099",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6400 DUTCHMANS PKWY STE 125",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402053342",
"telephone_number": "502-896-8700",
"fax_number": "502-896-0813"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1169 EASTERN PKWY STE 1211",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402171462",
"telephone_number": "502-896-8700",
"fax_number": "502-896-0813"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAUSTINE",
"first_name": "LLOYD",
"middle_name": "ROSS",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-12",
"last_updated": "2023-02-10",
"certification_date": "2023-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "IN",
"license": "28394",
"primary": false
},
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "KY",
"license": "19646",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000042393",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE KENTUCKY OFFICE",
"identifier": "K001342",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1052110",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "0800022",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "64196462",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLOCK VISION",
"identifier": "917333",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE INDIANA OFFICE",
"identifier": "I005632",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID IN MADISON OFFIC",
"identifier": "100259770A",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000062217",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID IN LOUISVILLE OF",
"identifier": "100259770B",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "180004025",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "180012783",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4012921",
"state": null
}
],
"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 Feb 10, 2023; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.