NPIMap

University of Louisville Research Foundation Inc

Organization Active NPI Internal Medicine Physician · Louisville, KY

NPI 1477580942 · NPPES record last updated May 24, 2018

Key facts

NPI
1477580942
Entity type
Organization (NPI type 2)
Primary specialty
Internal Medicine Physician 207R00000X
Legal business name
UNIVERSITY OF LOUISVILLE RESEARCH FOUNDATION INC
Practice address
401 E Chestnut St
Ste 110
Louisville, KY 40202-5700
Phone
(502) 852-6516
Fax
(502) 852-6649
NPI assigned
Jun 28, 2006
Organization subpart
No

Authorized official

Name
Gregory Postel, MD
Title
Evp Health Affairs
Phone
(502) 852-5184

Other NPIs on the same Medicare enrollment 4

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Practitioners 32

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 32

Laboratory certificates & supplier records

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
18D0953131Campus Health Services of Louisville
401 East Chestnut Street, Suite 110, Louisville, KY 40202		Certificate of waiverFeb 28, 2028

Medicare participation

Medicare fee-for-service enrollment
Enrolled in KY

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20031106000087 KY Part B Supplier - Clinic/Group Practice 1153234265 Receives reassigned benefits from 30 practitioners
4 other NPIs on this enrollment
Practice locations: Louisville, KY

National Provider Directory

Locations

530 S Jackson St
Fl 2
Louisville, KY 40202
Phone (502) 561-8844

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 207Q00000X
Geriatric Medicine (Family Medicine) Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 207QG0300X
Internal Medicine Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 207R00000X Yes
Geriatric Medicine (Internal Medicine) Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 207RG0300X
Family Nurse Practitioner
Group: 193200000X MULTI-SPECIALTY GROUP		 363LF0000X

Addresses

Primary practice location

401 E Chestnut St
Ste 110
Louisville, KY 40202-5700

Mailing address

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

Other identifiers

IdentifierTypeStateIssuer
552177OtherKYANTHEM

Other names

  • Campus Health Services Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on May 24, 2018.

{
    "created_epoch": "1151452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1527120000000",
    "number": "1477580942",
    "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",
            "fax_number": "502-588-0326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 E CHESTNUT ST",
            "address_2": "STE 110",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402025700",
            "telephone_number": "502-852-6516",
            "fax_number": "502-852-6649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY OF LOUISVILLE RESEARCH FOUNDATION INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-28",
        "last_updated": "2018-05-24",
        "status": "A",
        "authorized_official_last_name": "POSTEL",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_title_or_position": "EVP HEALTH AFFAIRS",
        "authorized_official_telephone_number": "502-852-5184",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207QG0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "552177",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Campus Health Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Louisville, KY

All providers in Louisville, KY · Internal Medicine Physician in Kentucky

Sources for this page

Verify at the official NPI Registry.