Active NPI
Amber Renee Fogarty, CRNA
- Certified Registered Nurse Anesthetist
- Louisville, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 3005918
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200951490 | Medicaid | IN | |
| 7100085320 | Medicaid | KY |
Other names 1
- Amber Renee Todara
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY, IN
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 PLLCAssociated Anesthesiologists of Fort Wayne PCProvidian Anesthesia LLC
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
- Baptist Health Floyd
Merit-based Incentive Payment System (MIPS)
- Final score
- 67.76 of 100
- Quality
- 62.07
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 78.96 of 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 3005918 | KY | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Louisville Physicians, Inc. | Current | Accepting new patients | |
| Providian Anesthesia LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| University of Louisville Physicians, Inc. | Current | Accepting new patients | |
| University of Louisville Physicians, Inc | Current | Accepting new patients | |
| Sda Consultants PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| University of Louisville Physicians, Inc. | Current | Accepting new patients | |
| University of Louisville Physicians, Inc. | Current | Accepting new patients | |
| Ema Anesthesia, PSC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Lec Ancillary PLLC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Louisville Endoscopy Center, PLLC | Past | Accepting new patients | |
| Adaptiv Intravenous Associates LLC | Nurse Anesthetist, Certified Registered | Past | 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.
-
- Certified Registered Nurse Anesthetist
- Louisville, KY
- NPI 1821654666
KY, Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Elkhart, IN
- NPI 1336605500
IN, Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Fort Wayne, IN
- NPI 1538159140
IN
-
- Internal Medicine Physician
- Louisville, KY
- NPI 1366722316
KY
-
- Anesthesiology Physician
- Jeffersonville, IN
- NPI 1104102268
IN, KY, Nurse Anesthetist, Certified Registered
-
- Cardiovascular Disease Physician
- Louisville, KY
- NPI 1215201637
-
- Diagnostic Radiology Physician
- Louisville, KY
- NPI 1316294127
-
- Anesthesiology Physician
- Louisville, KY
- NPI 1386990232
-
- Certified Registered Nurse Anesthetist
- Louisville, KY
- NPI 1487995577
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Louisville, KY
- NPI 1447200621
-
- General Practice Dentistry
- Louisville, KY
- NPI 1700943826
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.