Individual provider Active NPI

Alice E Minter-Sauer, MD

  • Family Medicine Physician
  • Louisville, KY
National Provider Identifier
1467417915
Registry record updated Jan 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
24903 Issued in KY
Practice address
9880 Angies Way Ste 420
Louisville, KY 40241-2850
Phone
(502) 394-6200
Fax
(502) 394-6210
NPI assigned
Apr 19, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 24903 KY Primary

Addresses

Primary practice location

9880 Angies Way Ste 420
Louisville, KY 40241-2850

Mailing address

PO Box 776351
Chicago, IL 60677-6351
Phone (502) 588-9490

Other identifiers 9

IdentifierTypeStateIssuer
9004205OtherCIGNA / NMA
041701OtherSIHO / NMA
64249030MedicaidKY
000000350625OtherANTHEM / NMA
000052154MOtherHUMANA / NMA
P00181559OtherKYRAILROAD MEDICARE
1184164OtherCHA / NMA
2445722000OtherPASPORT ADVANTAGE / NMA
50004357OtherPASSPORT / NMA

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
I20040602001705 KY Practitioner - Family Practice 2860474970 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
24903KYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Community Medical Associates, Inc. CurrentSince Jan 1, 2005 Accepting new patients
Community Medical Associates, Inc. Current Accepting new patients
Community Medical Associates, Inc. CurrentSince Jan 1, 2005 Accepting new patients
Advanced Eye Care PSC Past Accepting new patients

Locations

2500 Hermitage Way
Louisville, KY 40242
Phone (502) 425-2939

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

9880 Angies Way
Ste 420
Louisville, KY 40241
Phone (502) 394-6200

Organizations & group practices 4

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": "1145404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1517270400000",
    "number": "1467417915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 776351",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606776351",
            "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": "9880 ANGIES WAY STE 420",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402412850",
            "telephone_number": "502-394-6200",
            "fax_number": "502-394-6210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINTER-SAUER",
        "first_name": "ALICE",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-19",
        "last_updated": "2018-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "24903",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA / NMA",
            "identifier": "9004205",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SIHO / NMA",
            "identifier": "041701",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64249030",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM / NMA",
            "identifier": "000000350625",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA / NMA",
            "identifier": "000052154M",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00181559",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHA / NMA",
            "identifier": "1184164",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PASPORT ADVANTAGE / NMA",
            "identifier": "2445722000",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PASSPORT / NMA",
            "identifier": "50004357",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.