Individual provider Active NPI

Adrian R O'Hagan, M.D.

  • Pediatric Pulmonology Physician
  • Louisville, KY
National Provider Identifier
1467413658
Registry record updated Jan 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Pulmonology PhysicianTaxonomy code 2080P0214X
License
43400 Issued in KY
Practice address
210 E Gray St
Ste 1000
Louisville, KY 40202-3906
Phone
(502) 629-8830
Fax
(502) 629-7540
NPI assigned
Mar 29, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2015

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 43400 KY
Pediatric Pulmonology Physician 2080P0214X 43400 KY Primary

Addresses

Primary practice location

210 E Gray St
Ste 1000
Louisville, KY 40202-3906

Mailing address

PO Box 909
Louisville, KY 40201-0909
Phone (502) 629-8830

Other identifiers 2

IdentifierTypeStateIssuer
200985480MedicaidIN
7100117330MedicaidKY

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
I20100521000001 KY Practitioner - Pediatric Medicine 2668441643 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Medicine
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

411 E Chestnut St
Level 5a and 6B
Louisville, KY 40202-1713
Phone (502) 588-4940

Hospital & facility affiliations

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

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
97.07
Promoting interoperability
100
Improvement activities
40
Cost
76.49

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
43400KYMDPediatrics Physician
32847AZMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Community Medical Associates, Inc. Pediatrics CurrentSince Jun 3, 2012 Accepting new patients
Norton Children'S Medical Group, LLC Current Accepting new patients
University of Louisville Physicians, Inc. CurrentSince Jun 1, 2012 Accepting new patients
Norton Children'S Medical Group, LLC Pediatric Pulmonology CurrentSince Mar 1, 2020 Accepting new patients
Norton Children'S Medical Group, LLC CurrentSince Mar 1, 2020 Accepting new patients
University of Louisville Physicians, Inc. CurrentSince Jun 1, 2012 Accepting new patients
Community Medical Associates, Inc. CurrentSince Jun 3, 2012 Accepting new patients
University of Louisville Physicians, Inc. Pediatrics Current Accepting new patients
Community Medical Associates, Inc. Current Accepting new patients
Norton Hospitals, Inc Past Accepting new patients
Norton Childrens Medical Group, LLC Pediatrics Past Accepting new patients

Locations

7752 Solution Ctr
Chicago, IL 60677

401 E Chestnut St
Unit 310
Louisville, KY 40202
Phone (502) 584-8563

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

825 Barret Ave
Louisville, KY 40204
Phone (502) 272-5165

234 E Gray St
Ste 270
Louisville, KY 40202
Phone (502) 629-3972

411 E Chestnut St
#5A
Louisville, KY 40202
Phone (502) 588-2349

411 E Chestnut St
#5A6B
Louisville, KY 40202
Phone (502) 588-4940

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

210 E Gray St
Ste 1000
Louisville, KY 40202
Phone (502) 629-3972

210 E Gray St
Louisville, KY 40202
Phone (502) 587-9350

411 E Chestnut St
Louisville, KY 40202
Phone (502) 588-2330

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

Interoperability endpoints

  • Direct secure messaging: aohagan11844@direct.nortonhealthcare.org

Organizations & group practices 11

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.

Hospital & facility affiliations 1

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": "1143590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1420416000000",
    "number": "1467413658",
    "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": "502-629-8830",
            "fax_number": "502-629-7540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 E GRAY ST",
            "address_2": "STE 1000",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402023906",
            "telephone_number": "502-629-8830",
            "fax_number": "502-629-7540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'HAGAN",
        "first_name": "ADRIAN",
        "middle_name": "R",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-29",
        "last_updated": "2015-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "KY",
            "license": "43400",
            "primary": false
        },
        {
            "code": "2080P0214X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Pulmonology",
            "state": "KY",
            "license": "43400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200985480",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100117330",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.