Active NPI
Michael Edward Lovelace, M.D.
- Family Medicine Physician
- Louisville, KY
National Provider Identifier
1437679842
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 53392
- Practice address
- 2908 Taylorsville Rd
Louisville, KY 40205 - Phone
- (502) 324-5416
- Fax
- (215) 693-5414
- NPI assigned
- Jun 27, 2017
- Last updated
- May 3, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | LL40965 | SC | |
| Family Medicine Physician | 207Q00000X | MD40965 | SC | |
| Family Medicine Physician | 207Q00000X | 53392 | KY | Primary |
Addresses
Primary practice location
2908 Taylorsville Rd
Louisville, KY 40205
Mailing address
2908 Taylorsville Rd.
Louisville, KY 40205
Phone (502) 324-5416
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Oct 1, 2020 through Oct 1, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 53392 | KY | MD | Family Medicine Physician |
| MD40965 | SC | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1498521600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1683072000000",
"number": "1437679842",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2908 TAYLORSVILLE RD.",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "40205",
"telephone_number": "502-324-5416",
"fax_number": "215-693-5414"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2908 TAYLORSVILLE RD",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "40205",
"telephone_number": "502-324-5416",
"fax_number": "215-693-5414"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOVELACE",
"first_name": "MICHAEL",
"middle_name": "EDWARD",
"name_prefix": "Mr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-06-27",
"last_updated": "2023-05-03",
"certification_date": "2023-05-03",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "SC",
"license": "LL40965",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "SC",
"license": "MD40965",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "KY",
"license": "53392",
"primary": true
}
],
"identifiers": [],
"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 May 3, 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.