Individual provider Active NPI

Pratiksha A Naik, MD

  • Neonatal-Perinatal Medicine Physician
  • Louisville, KY
National Provider Identifier
1447229836
Registry record updated Nov 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neonatal-Perinatal Medicine PhysicianTaxonomy code 2080N0001X
License
33683 Issued in KY
Practice address
4123 Dutchmans LN
Suite 301
Louisville, KY 40207-4707
Phone
(502) 896-2500
Fax
(502) 896-2527
NPI assigned
Mar 16, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2019

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 33683 KY
Neonatal-Perinatal Medicine Physician 2080N0001X 33683 KY Primary

Addresses

Primary practice location

4123 Dutchmans LN
Suite 301
Louisville, KY 40207-4707

Mailing address

PO Box 950202
Louisville, KY 40295-0202
Phone (502) 588-9490

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100201000251 KY Practitioner - Pediatric Medicine 1557404449 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
33683KYMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Norton Children's Medical Group, LLC Current Accepting new patients
Norton Children's Medical Group, LLC CurrentSince Mar 1, 2020 Accepting new patients
Norton Children's Medical Group, LLC Pediatrics CurrentSince Mar 1, 2020 Accepting new patients
Baptist Healthcare System Inc. Past Accepting new patients
Norton Childrens Medical Group, LLC Pediatrics Past Accepting new patients
Norton Hospitals, Inc Past Accepting new patients

Locations

1220 Missouri Ave
Jeffersonvlle, IN 47130
Phone (812) 282-2072

1850 State St
New Albany, IN 47150
Phone (812) 944-7701

720 2nd Ave
Ste 102
Bowling Green, KY 42101
Phone (502) 583-1697

505 Klutey Park Plaza Dr
Ste A
Henderson, KY 42420
Phone (270) 869-1997

530 S Jackson St
Louisville, KY 40202
Phone (502) 562-3000

601 S Floyd St
Ste 700
Louisville, KY 40202
Phone (502) 629-7181

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

4123 Dutchmans Ln
Ste 606
Louisville, KY 40207
Phone (502) 896-2500

200 E Chestnut St
Louisville, KY 40202
Phone (502) 446-8000

231 E Chestnut St
Louisville, KY 40202
Phone (502) 852-8500

4123 Dutchmans Ln
Ste 301
Louisville, KY 40207
Phone (502) 896-2500

1201 Pleasant Valley Rd
Owensboro, KY 42303
Phone (270) 417-2000

1000 Breckenridge St
Ste 301
Owensboro, KY 42303
Phone (270) 852-8894

2603 Kentucky Ave
Ste 304
Paducah, KY 42003
Phone (270) 415-4800

2501 Kentucky Ave
Paducah, KY 42003
Phone (270) 575-2180

4000 Kresge Way
St Matthews, KY 40207
Phone (502) 459-7902

Interoperability endpoints

  • Direct secure messaging: pnaik12618@direct.nortonhealthcare.org

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1142467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572566400000",
    "number": "1447229836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 950202",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402950202",
            "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": "4123 DUTCHMANS LN",
            "address_2": "SUITE 301",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402074707",
            "telephone_number": "502-896-2500",
            "fax_number": "502-896-2527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAIK",
        "first_name": "PRATIKSHA",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-16",
        "last_updated": "2019-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "KY",
            "license": "33683",
            "primary": false
        },
        {
            "code": "2080N0001X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": "KY",
            "license": "33683",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.