Individual provider Active NPI

Amber Renee Fogarty, CRNA

  • Certified Registered Nurse Anesthetist
  • Louisville, KY
National Provider Identifier
1457597940
Registry record updated Mar 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
3005918 Issued in KY
Practice address
3920 Dutchmans LN
Louisville, KY 40207-4702
Phone
(502) 259-6710
Fax
(502) 259-6704
NPI assigned
Jan 5, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 3005918 KY Primary

Addresses

Primary practice location

3920 Dutchmans LN
Louisville, KY 40207-4702

Mailing address

PO Box 909
Louisville, KY 40201-0909
Phone (502) 588-0328

Other identifiers 2

IdentifierTypeStateIssuer
200951490MedicaidIN
7100085320MedicaidKY

Other names 1

  • Amber Renee Todara Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, IN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20090416000042 KY Practitioner - Certified Registered Nurse Anesthetist (Crna) 3072660786 Reassigns benefits to 3 organizations
I20130617000220 IN Practitioner - Certified Registered Nurse Anesthetist (Crna) 3072660786 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sda Consultants PLLCGroup PAC ID 3870825912, 76 clinicians
Associated Anesthesiologists of Fort Wayne PCGroup PAC ID 2264412444, 101 clinicians
Providian Anesthesia LLCGroup PAC ID 2264765791, 8 clinicians

Practice addresses (Care Compare)

200 Missouri Ave
BLDG 18
Jeffersonville, IN 47130-3014
Phone (812) 920-0055

4023 Reas LN
New Albany, IN 47150-2228
Phone (812) 206-7660

9202 Leesgate Rd
Hurstbourne, KY 40222-5001
Phone (888) 602-2512

Hospital & facility affiliations

  • Physicians' Medical Center LLC Hospital, New Albany, IN, CCN 150172
  • Baptist Health Floyd Hospital, New Albany, IN, CCN 150044

Merit-based Incentive Payment System (MIPS)

Final score
67.76 of 100Reported as group
Quality
62.07
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
78.96 of 100Reported as group
Quality
56.12
Promoting interoperability
100
Improvement activities
40
Cost
73.73

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
3005918KYMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
University of Louisville Physicians, Inc. Current Accepting new patients
Providian Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Aug 3, 2023 Accepting new patients
University of Louisville Physicians, Inc. CurrentSince Jan 1, 2023 Accepting new patients
University of Louisville Physicians, Inc Current Accepting new patients
Sda Consultants PLLC Nurse Anesthetist, Certified Registered CurrentSince Jun 7, 2025 Accepting new patients
University of Louisville Physicians, Inc. CurrentSince Jan 1, 2023 Accepting new patients
University of Louisville Physicians, Inc. CurrentSince Jan 1, 2023 Accepting new patients
Ema Anesthesia, PSC Nurse Anesthetist, Certified Registered CurrentSince Jun 6, 2024 Accepting new patients
Lec Ancillary PLLC Nurse Anesthetist, Certified Registered PastSince Dec 5, 2010 Accepting new patients
Louisville Endoscopy Center, PLLC Past Accepting new patients
Adaptiv Intravenous Associates LLC Nurse Anesthetist, Certified Registered PastSince May 20, 2014 Accepting new patients
Chyron LLC Past Accepting new patients
Anesthesia Associates of Louisville, PSC Past Accepting new patients

Locations

7752 Solution Ctr
Chicago, IL 60677

2051 Clevidence Blvd
Clarksville, IN 47129
Phone (812) 280-6650

500 Arcade Ave
Ste 100
Elkhart, IN 46514
Phone (574) 389-5683

200 Missouri Ave
Jeffersonvlle, IN 47130
Phone (812) 920-0055

360 Missouri Ave
Ste 102
Jeffersonvlle, IN 47130
Phone (502) 364-0902

200 Missouri Ave
Bldg 18
Jeffersonvlle, IN 47130
Phone (502) 552-5221

1305 Wall St
Jeffersonvlle, IN 47130
Phone (812) 288-7479

101 Financial Pl
Ste B103
Elizabethtown, KY 42701
Phone (270) 307-8177

3920 Dutchmans Ln
Louisville, KY 40207
Phone (502) 259-6000

200 Abraham Flexner Way
Louisville, KY 40202
Phone (502) 569-7983

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

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

2511 Terra Crossing Blvd
Louisville, KY 40245
Phone (502) 589-9488

9202 Leesgate Rd
Louisville, KY 40222
Phone (502) 276-5554

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1231113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677628800000",
    "number": "1457597940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 909",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402010909",
            "telephone_number": "502-588-0328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3920 DUTCHMANS LN",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402074702",
            "telephone_number": "502-259-6710",
            "fax_number": "502-259-6704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOGARTY",
        "first_name": "AMBER",
        "middle_name": "RENEE",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-01-05",
        "last_updated": "2023-03-01",
        "certification_date": "2023-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "KY",
            "license": "3005918",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200951490",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100085320",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMBER",
            "last_name": "TODARA",
            "middle_name": "RENEE",
            "credential": "CRNA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Mar 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.